Two Needle Passes Achieve Similar Diagnostic Yield Compared to Three Passes Regarding Diagnosis of Solid Pancreatic Lesions in Endoscopic Ultrasound-Guided Fine Needle Aspiration

Current guidelines advocate 3–4 passes with a fine-needle aspiration (FNA) to achieve high rates of diagnostic samples for malignancy when performing endoscopic ultrasound (EUS)-guided sampling of solid pancreatic lesions, in the absence of on-site cytologic evaluation. The aim of this study is to c...

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Detalles Bibliográficos
Autores principales: Koukoulioti, Eleni, Tziatzios, Georgios, Tadic, Mario, Dimitriadis, Stavros, Gkolfakis, Paraskevas, Politi, Ekaterini, Stoos-Veic, Tajana, Turcic, Petra, Chatzidakis, Alexandros, Lazaridis, Lazaros-Dimitrios, Farmaki, Maria, Vezakis, Antonios, Triantafyllou, Konstantinos, Polydorou, Andreas, Papanikolaou, Ioannis S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700681/
https://www.ncbi.nlm.nih.gov/pubmed/34943512
http://dx.doi.org/10.3390/diagnostics11122272
Descripción
Sumario:Current guidelines advocate 3–4 passes with a fine-needle aspiration (FNA) to achieve high rates of diagnostic samples for malignancy when performing endoscopic ultrasound (EUS)-guided sampling of solid pancreatic lesions, in the absence of on-site cytologic evaluation. The aim of this study is to compare 2 vs. 3 needle passes in EUS-FNA for solid pancreatic lesions in terms of incremental diagnostic yield and to identify factors associated with the procedure’s outcome. In this retrospective study, 2 passes of EUS-FNA were found to have similar diagnostic yield compared to 3 passes for the diagnosis of solid pancreatic masses, suggesting that there might be no significant incremental tissue yield when 3 passes are performed.

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