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Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors
OBJECTIVE: Both a percutaneous biopsy and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) have been widely performed for liver tumors. However, no studies have compared these two biopsy methods. METHOD: A retrospective study was conducted using medical records for patients who underwen...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japanese Society of Internal Medicine
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222129/ https://www.ncbi.nlm.nih.gov/pubmed/34078770 http://dx.doi.org/10.2169/internalmedicine.6183-20 |
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author | Takano, Yuichi Noda, Jun Yamawaki, Masataka Azami, Tetsushi Kobayashi, Takahiro Niiya, Fumitaka Maruoka, Naotaka Norose, Tomoko Ohike, Nobuyuki Wakabayashi, Tetsuji Matsuo, Kenichi Tanaka, Kuniya Nagahama, Masatsugu |
author_facet | Takano, Yuichi Noda, Jun Yamawaki, Masataka Azami, Tetsushi Kobayashi, Takahiro Niiya, Fumitaka Maruoka, Naotaka Norose, Tomoko Ohike, Nobuyuki Wakabayashi, Tetsuji Matsuo, Kenichi Tanaka, Kuniya Nagahama, Masatsugu |
author_sort | Takano, Yuichi |
collection | PubMed |
description | OBJECTIVE: Both a percutaneous biopsy and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) have been widely performed for liver tumors. However, no studies have compared these two biopsy methods. METHOD: A retrospective study was conducted using medical records for patients who underwent a liver tumor biopsy from 2012 to 2019. The cases were classified into two groups for a comparison: an ultrasound-guided percutaneous biopsy group (percutaneous group) and an EUS-FNA group (EUS group). RESULTS: A total of 106 patients (47 in the percutaneous group and 59 in the EUS group) were included. The final diagnosis was malignant in 100 cases and benign in the remaining 6 cases. While the median lesion diameter was 62 mm in the percutaneous group, it was significantly smaller (34 mm) in the EUS group (p <0.01). The EUS group had more left lobe tumors than right lobe tumors. All cases of caudate lobe tumor (four cases) underwent EUS-FNA. The sensitivity, specificity, and accuracy of the procedure were 95%, 100%, and 96% in the percutaneous group and 100%, 100%, and 100% in the EUS group, respectively showing no significant difference. Adverse events were reported in 17% of the percutaneous group, which was significantly lower than in the EUS group (2%; p <0.01). CONCLUSION: A percutaneous biopsy and EUS-FNA have equivalent diagnostic qualities for liver tumors, although EUS-FNA tends to be associated with fewer adverse events. A complete understanding of the characteristics of each procedure is essential when choosing the best biopsy method for each particular case. |
format | Online Article Text |
id | pubmed-8222129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-82221292021-06-27 Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors Takano, Yuichi Noda, Jun Yamawaki, Masataka Azami, Tetsushi Kobayashi, Takahiro Niiya, Fumitaka Maruoka, Naotaka Norose, Tomoko Ohike, Nobuyuki Wakabayashi, Tetsuji Matsuo, Kenichi Tanaka, Kuniya Nagahama, Masatsugu Intern Med Original Article OBJECTIVE: Both a percutaneous biopsy and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) have been widely performed for liver tumors. However, no studies have compared these two biopsy methods. METHOD: A retrospective study was conducted using medical records for patients who underwent a liver tumor biopsy from 2012 to 2019. The cases were classified into two groups for a comparison: an ultrasound-guided percutaneous biopsy group (percutaneous group) and an EUS-FNA group (EUS group). RESULTS: A total of 106 patients (47 in the percutaneous group and 59 in the EUS group) were included. The final diagnosis was malignant in 100 cases and benign in the remaining 6 cases. While the median lesion diameter was 62 mm in the percutaneous group, it was significantly smaller (34 mm) in the EUS group (p <0.01). The EUS group had more left lobe tumors than right lobe tumors. All cases of caudate lobe tumor (four cases) underwent EUS-FNA. The sensitivity, specificity, and accuracy of the procedure were 95%, 100%, and 96% in the percutaneous group and 100%, 100%, and 100% in the EUS group, respectively showing no significant difference. Adverse events were reported in 17% of the percutaneous group, which was significantly lower than in the EUS group (2%; p <0.01). CONCLUSION: A percutaneous biopsy and EUS-FNA have equivalent diagnostic qualities for liver tumors, although EUS-FNA tends to be associated with fewer adverse events. A complete understanding of the characteristics of each procedure is essential when choosing the best biopsy method for each particular case. The Japanese Society of Internal Medicine 2021-06-01 2021-06-01 /pmc/articles/PMC8222129/ /pubmed/34078770 http://dx.doi.org/10.2169/internalmedicine.6183-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Takano, Yuichi Noda, Jun Yamawaki, Masataka Azami, Tetsushi Kobayashi, Takahiro Niiya, Fumitaka Maruoka, Naotaka Norose, Tomoko Ohike, Nobuyuki Wakabayashi, Tetsuji Matsuo, Kenichi Tanaka, Kuniya Nagahama, Masatsugu Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors |
title | Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors |
title_full | Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors |
title_fullStr | Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors |
title_full_unstemmed | Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors |
title_short | Comparative Study of an Ultrasound-guided Percutaneous Biopsy and Endoscopic Ultrasound-guided Fine-needle Aspiration for Liver Tumors |
title_sort | comparative study of an ultrasound-guided percutaneous biopsy and endoscopic ultrasound-guided fine-needle aspiration for liver tumors |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222129/ https://www.ncbi.nlm.nih.gov/pubmed/34078770 http://dx.doi.org/10.2169/internalmedicine.6183-20 |
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