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Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?

Background and study aims  Pancreatic cancer represents the fourth most common cause of cancer-related deaths in Western countries and the need of a low-risk investigation to obtain an accurate histopathological diagnosis has become increasingly pressing. Endoscopic ultrasonography (EUS) with fine-n...

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Autores principales: Mangiavillano, Benedetto, Sosa-Valencia, Leonardo, Deprez, Pierre, Eisendrath, Pierre, Robles-Medranda, Carlos, Eusebi, Leonardo H., Di Leo, Milena, Auriemma, Francesco, Bianchetti, Mario, Anderloni, Andrea, Carrara, Silvia, Repici, Alessandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508666/
https://www.ncbi.nlm.nih.gov/pubmed/33015333
http://dx.doi.org/10.1055/a-1221-4578
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author Mangiavillano, Benedetto
Sosa-Valencia, Leonardo
Deprez, Pierre
Eisendrath, Pierre
Robles-Medranda, Carlos
Eusebi, Leonardo H.
Di Leo, Milena
Auriemma, Francesco
Bianchetti, Mario
Anderloni, Andrea
Carrara, Silvia
Repici, Alessandro
author_facet Mangiavillano, Benedetto
Sosa-Valencia, Leonardo
Deprez, Pierre
Eisendrath, Pierre
Robles-Medranda, Carlos
Eusebi, Leonardo H.
Di Leo, Milena
Auriemma, Francesco
Bianchetti, Mario
Anderloni, Andrea
Carrara, Silvia
Repici, Alessandro
author_sort Mangiavillano, Benedetto
collection PubMed
description Background and study aims  Pancreatic cancer represents the fourth most common cause of cancer-related deaths in Western countries and the need of a low-risk investigation to obtain an accurate histopathological diagnosis has become increasingly pressing. Endoscopic ultrasonography (EUS) with fine-needle aspiration (FNA) is the standard method for obtaining samples from pancreatic masses. In recent years, there has been an increasing need to obtain histological specimens during EUS procedures, rather than cytological ones, to guide oncological treatment options, leading to the so-call “FNB concept.” Different needles have been developed for fine-needle biopsy (FNB) in recent years, enabling acquisition of larger specimens on which to perform histological and molecular analyses. The aim of this narrative review was to assess the role of EUS-guided FNA and FNB in patients with pancreatic masses, and to identify which needle and which acquisition technique should be used to improve tissue acquisition.
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spelling pubmed-75086662020-10-01 Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used? Mangiavillano, Benedetto Sosa-Valencia, Leonardo Deprez, Pierre Eisendrath, Pierre Robles-Medranda, Carlos Eusebi, Leonardo H. Di Leo, Milena Auriemma, Francesco Bianchetti, Mario Anderloni, Andrea Carrara, Silvia Repici, Alessandro Endosc Int Open Background and study aims  Pancreatic cancer represents the fourth most common cause of cancer-related deaths in Western countries and the need of a low-risk investigation to obtain an accurate histopathological diagnosis has become increasingly pressing. Endoscopic ultrasonography (EUS) with fine-needle aspiration (FNA) is the standard method for obtaining samples from pancreatic masses. In recent years, there has been an increasing need to obtain histological specimens during EUS procedures, rather than cytological ones, to guide oncological treatment options, leading to the so-call “FNB concept.” Different needles have been developed for fine-needle biopsy (FNB) in recent years, enabling acquisition of larger specimens on which to perform histological and molecular analyses. The aim of this narrative review was to assess the role of EUS-guided FNA and FNB in patients with pancreatic masses, and to identify which needle and which acquisition technique should be used to improve tissue acquisition. Georg Thieme Verlag KG 2020-10 2020-09-22 /pmc/articles/PMC7508666/ /pubmed/33015333 http://dx.doi.org/10.1055/a-1221-4578 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Mangiavillano, Benedetto
Sosa-Valencia, Leonardo
Deprez, Pierre
Eisendrath, Pierre
Robles-Medranda, Carlos
Eusebi, Leonardo H.
Di Leo, Milena
Auriemma, Francesco
Bianchetti, Mario
Anderloni, Andrea
Carrara, Silvia
Repici, Alessandro
Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?
title Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?
title_full Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?
title_fullStr Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?
title_full_unstemmed Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?
title_short Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?
title_sort tissue acquisition and pancreatic masses: which needle and which acquisition technique should be used?
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508666/
https://www.ncbi.nlm.nih.gov/pubmed/33015333
http://dx.doi.org/10.1055/a-1221-4578
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