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How good is fine needle aspiration? What results should you expect?

Tissue acquisition plays a key role before treatment decision in most of oncological pathologies but also in several benign diseases. By offering tissue sampling, endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has become an essential tool in the diagnostic processes. One of the reason...

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Autores principales: Eisendrath, Pierre, Ibrahim, Mostafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063262/
https://www.ncbi.nlm.nih.gov/pubmed/24949404
http://dx.doi.org/10.4103/2303-9027.127122
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author Eisendrath, Pierre
Ibrahim, Mostafa
author_facet Eisendrath, Pierre
Ibrahim, Mostafa
author_sort Eisendrath, Pierre
collection PubMed
description Tissue acquisition plays a key role before treatment decision in most of oncological pathologies but also in several benign diseases. By offering tissue sampling, endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has become an essential tool in the diagnostic processes. One of the reasons for the success of the technique is related to its excellent diagnostic performance. The diagnostic accuracy of EUS-FNA is above 80% for most of the usual indications. These performances are however dependent on some factors related to both the disease and patient's medical history but also related to medical staff expertise. Endoscopist needs to know how to reach a lesion but also how to efficiently acquire good tissue samples. This review aims to report general recommendations available in the literature for high quality EUS-FNA. Sample processing and sample interpretation also influence diagnostic accuracy of FNA. This paper includes a discussion on sample processing and benefits of the on-site pathology examination. It also provides the results reported in the literature of sample adequacy and diagnostic performance of EUS-FNA for most common indications: Pancreatic diseases, sub-mucosal lesion, mucosal thickenings, lymph nodes, cystic lesion and free fluids.
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spelling pubmed-40632622014-06-19 How good is fine needle aspiration? What results should you expect? Eisendrath, Pierre Ibrahim, Mostafa Endosc Ultrasound Review Article Tissue acquisition plays a key role before treatment decision in most of oncological pathologies but also in several benign diseases. By offering tissue sampling, endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) has become an essential tool in the diagnostic processes. One of the reasons for the success of the technique is related to its excellent diagnostic performance. The diagnostic accuracy of EUS-FNA is above 80% for most of the usual indications. These performances are however dependent on some factors related to both the disease and patient's medical history but also related to medical staff expertise. Endoscopist needs to know how to reach a lesion but also how to efficiently acquire good tissue samples. This review aims to report general recommendations available in the literature for high quality EUS-FNA. Sample processing and sample interpretation also influence diagnostic accuracy of FNA. This paper includes a discussion on sample processing and benefits of the on-site pathology examination. It also provides the results reported in the literature of sample adequacy and diagnostic performance of EUS-FNA for most common indications: Pancreatic diseases, sub-mucosal lesion, mucosal thickenings, lymph nodes, cystic lesion and free fluids. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4063262/ /pubmed/24949404 http://dx.doi.org/10.4103/2303-9027.127122 Text en Copyright: © Endoscopic Ultrasound http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Eisendrath, Pierre
Ibrahim, Mostafa
How good is fine needle aspiration? What results should you expect?
title How good is fine needle aspiration? What results should you expect?
title_full How good is fine needle aspiration? What results should you expect?
title_fullStr How good is fine needle aspiration? What results should you expect?
title_full_unstemmed How good is fine needle aspiration? What results should you expect?
title_short How good is fine needle aspiration? What results should you expect?
title_sort how good is fine needle aspiration? what results should you expect?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063262/
https://www.ncbi.nlm.nih.gov/pubmed/24949404
http://dx.doi.org/10.4103/2303-9027.127122
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