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Effectiveness of EUS-Guided Fine-Needle Biopsy versus EUS-Guided Fine-Needle Aspiration: A Retrospective Analysis
| Content Provider | MDPI |
|---|---|
| Author | Kuraoka, Naosuke Hashimoto, Satoru Matsui, Shigeru Terai, Shuji |
| Copyright Year | 2021 |
| Description | Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for pancreatic tumors and subepithelial lesions (SEL) of the gastrointestinal tract are effective for histological diagnosis. There are also reports that tissue sampling is possible with a smaller number of punctures by EUS-guided fine-needle biopsy (EUS-FNB). In this study, we retrospectively compared the diagnostic abilities of EUS-FNA and EUS-FNB. We examined 130 patients who underwent EUS-FNA/EUS-FNB for pancreatic tumors and SEL from July 2018 to January 2021. None of the cases underwent rapid on-site evaluation. There were 94 and 36 cases in the EUS-FNA and EUS-FNB groups, respectively. The median tumor size in the EUS-FNB group was 30 mm, which was significantly larger than the EUS-FNA group (p = 0.02). In addition, transgastric puncture was significantly more common in the EUS-FNB group (p = 0.01). The EUS-FNA and EUS-FNB groups had a sensitivity of 82.9% and 91.7% and an accuracy rate of 85.1% and 91.7%, respectively. However, both procedures had a comparable diagnostic ability. |
| Starting Page | 965 |
| e-ISSN | 20754418 |
| DOI | 10.3390/diagnostics11060965 |
| Journal | Diagnostics |
| Issue Number | 6 |
| Volume Number | 11 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-05-27 |
| Access Restriction | Open |
| Subject Keyword | Diagnostics Pathology Endoscopic Ultrasound-guided Fine-needle Aspiration Endoscopic Ultrasound-guided Fine-needle Biopsy Pancreatic Tumor Subepithelial Lesions |
| Content Type | Text |
| Resource Type | Article |