Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool indiagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in theevaluation of liver masses and its impact on patient management and procedure-related complications retrospectively. Methods: Data of patients who underwent EUS-FNA biopsies due to liver masses between November 2017 and July 2018 wereretrieved retrospectively. Biopsies were performed using 22-G needles. The demographics, EUS-FNA results, sensitivity andspecificity of the procedure, negative predictive value, positive predictive value, and specimen sufficiency rates were assessed. Results: A total of 25 patients (10 females) were included in the study. The mean age was 62.73±15.2 years. The mean size of themasses was 34.50±16.04 mm. The technical success rate was 88%. During the EUS-FNA procedure, each patient had only one passwith 94.45% of aspirate sufficiency rate and 86.3% of biopsy sufficiency rate. The diagnostic accuracy rate was 86.3%. There were nocomplications. Conclusions: For the evaluation of liver masses, EUS-FNA using a 22-G needle with even one pass had high aspiration and biopsysuccess rates accompanied with high diagnostic accuracy rates.
Abstract
Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool indiagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in theevaluation of liver masses and its impact on patient management and procedure-related complications retrospectively. Methods: Data of patients who underwent EUS-FNA biopsies due to liver masses between November 2017 and July 2018 wereretrieved retrospectively. Biopsies were performed using 22-G needles. The demographics, EUS-FNA results, sensitivity andspecificity of the procedure, negative predictive value, positive predictive value, and specimen sufficiency rates were assessed. Results: A total of 25 patients (10 females) were included in the study. The mean age was 62.73±15.2 years. The mean size of themasses was 34.50±16.04 mm. The technical success rate was 88%. During the EUS-FNA procedure, each patient had only one passwith 94.45% of aspirate sufficiency rate and 86.3% of biopsy sufficiency rate. The diagnostic accuracy rate was 86.3%. There were nocomplications. Conclusions: For the evaluation of liver masses, EUS-FNA using a 22-G needle with even one pass had high aspiration and biopsysuccess rates accompanied with high diagnostic accuracy rates.
참고문헌 (20)
- Dewitt J, "Initial experience with EUS-guided Tru-cut biopsy of benign liver disease", Gastrointest Endosc, 69, pp.535~542 (2009)
- Hammoud GM, "Usefulness of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of hepatic, gallbladder and biliary tract lesions", World J Gastrointest Oncol, 6, pp.420~429 (2014)
- Parekh PJ, "Endoscopic ultrasound-guided liver biopsy", Endosc Ultrasound, 4, pp.85~91 (2015)
- Awad SS, "Preoperative evaluation of hepatic lesions for the staging of hepatocellular and metastatic liver carcinoma using endoscopic ultrasonography", Am J Surg, 184, pp.601~604 (2002)
- Mathew A, "EUS-guided routine liver biopsy in selected patients", Am J Gastroenterol, 102, pp.2354~2355 (2007)
- Gleeson FC, "Adequacy of endoscopic ultrasound core needle biopsy specimen of nonmalignant hepatic parenchymal disease", Clin Gastroenterol Hepatol, 6, pp.1437~1440 (2008)
- Stavropoulos SN, "High yield of same-session EUS-guided liver biopsy by 19-gauge FNA needle in patients undergoing EUS to exclude biliary obstruction", Gastrointest Endosc, 75, pp.310~318 (2012)
- Tharian B, "Endoscopic ultrasound fine needle aspiration : technique and applications in clinical practice", World J Gastrointest Endosc, 4, pp.532~544 (2012)
- Nguyen P, "Endoscopic ultrasound(EUS)and EUS-guided fine-needle aspiration(FNA)of liver lesions", Gastrointest Endosc, 50, pp.357~361 (1999)
- tenBerge J, "EUS-guided fine needle aspiration of the liver : indications, yield, and safety based on an international survey of 167 cases", Gastrointest Endosc, 55, pp.859~862 (2002)
- Fujii-Lau LL, "EUS-derived criteria for distinguishing benign from malignant metastatic solid hepatic masses", Gastrointest Endosc, 81, pp.1188~1196 (2015)
- Ichim VA, "Diagnostic yield of endoscopic ultrasound-guided biopsy of focal liver lesions", Med Pharm Rep, 92, pp.15~20 (2019)
- Lee YN, "Usefulness of endoscopic ultrasound-guided sampling using core biopsy needle as a percutaneous biopsy rescue for diagnosis of solid liver mass : combined histological-cytological analysis", J Gastroenterol Hepatol, 30, pp.1161~1166 (2015)
- Hollerbach S, "Diagnosis of hepatocellular carcinoma(HCC)in a high-risk patient by using transgastric EUS-guided fine-needle biopsy(EUS-FNA)", Z Gastroenterol, 41, pp.995~998 (2003)
- Oh D, "Endoscopic ultrasound-guided fine-needle aspiration can target right liver mass", Endosc Ultrasound, 6, pp.109~115 (2017)
- 전형구, "Endoscopic Ultrasound-Guided Liver Biopsy Using a Core Needle for Hepatic Solid Mass", Clinical Endoscopy, 52(4), pp.340~346 (2019), 대한소화기내시경학회[DOI]
- Armen Eskandari, "Comparison of Endoscopic Ultrasound Biopsy Needles for Endoscopic Ultrasound-Guided Liver Biopsy", Clinical Endoscopy, 52(4), pp.347~352 (2019), 대한소화기내시경학회[DOI]
- Schulman AR, "Optimizing EUS-guided liver biopsy sampling : comprehensive assessment of needle types and tissue acquisition techniques", Gastrointest Endosc, 85, pp.419~426 (2017)
- Jovani M, "Novel fork-tip needles versus standard needles for EUS-guided tissue acquisition from solid masses of the upper GI tract : a matched cohort study", Scand J Gastroenterol, 52, pp.784~787 (2017)
- Wang KX, "Assessment of morbidity and mortality associated with EUS-guided FNA : a systematic review", Gastrointest Endosc, 73, pp.283~290 (2011)