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Role of Repeated Endoscopic Ultrasound-Guided Fine Needle Aspiration for Inconclusive Initial Cytology Result

김은영
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2013.09|Clinical Endoscopy|제46권 제5호|pp. 540-542

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참고문헌

키워드

Pancreatic neoplasmsEndosonography
주제분류내과학

초록

For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.

Abstract

For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.

참고문헌 (18)

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관련 논문AI추천

Factors Influencing the Diagnostic Performance of Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration/Biopsy after the First Inconclusive Diagnosis of Pancreatic Solid Lesions송태준, Bang Seungmin, Cho Jae Hee, Jang Sung Ill, Kang Huapyong, Kim Eui Joo, Kim Jaihwan, Lee Hee Seung, Lee Sang Soo, Ryu Su Jeong거트앤리버 소화기연관학회협의회 · Gut and Liver2024 · 제18권 제1호Present and Future of Endoscopic Ultrasound-Guided Tissue Acquisition in Solid Pancreatic TumorsJae Keun Park, Kwang Hyuck Lee대한소화기내시경학회 · Clinical Endoscopy2019 · 제52권 제6호Diagnostic Accuracy of Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology of Pancreatic Lesions김민아, 박민지, 박인애, 백해운, 이경분, 이예영대한병리학회 · Journal of Pathology and Translational Medicine2015 · 제49권 제1호Endoscopic Ultrasound-Guided Fine Needle Biopsy Needles Provide Higher Diagnostic Yield Compared to Endoscopic Ultrasound-Guided Fine Needle Aspiration Needles When Sampling Solid Pancreatic Lesions: A Meta-AnalysisBenjamin D. Renelus, Daniel S. Jamorabo, Iman Boston, John M. Poneros, William M. Briggs대한소화기내시경학회 · Clinical Endoscopy2021 · 제54권 제2호Technical Advances in Endoscopic Ultrasound(EUS)-Guided Tissue Acquisition for Pancreatic Cancers: How Can We Get the Best Results with EUS-Guided Fine Needle Aspiration?Michel Kahaleh, Monica Gaidhane, Prashant Kedia대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제5호Utility of Endoscopic Ultrasound-Guided Fine Needle Aspiration in the Diagnosis of Local Recurrence of Pancreaticobiliary Cancer after Surgical ResectionAkihiro Matsumi, Daisuke Uchida, Hironari Kato, Hiroyuki Okada, Kazuyuki Matsumoto, Saimon Takada, Shigeru Horiguchi, Shinichiro Muro, Takeshi Tomoda, Yosuke Saragai, Yuki Ishihara거트앤리버 소화기연관학회협의회 · Gut and Liver2020 · 제14권 제5호

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