NDLI: Endoscopic ultrasound-guided fine needle aspiration versus percutaneous ultrasound-guided fine needle aspiration in diagnosis of focal pancreatic masses

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Endoscopic ultrasound-guided fine needle aspiration versus percutaneous ultrasound-guided fine needle aspiration in diagnosis of focal pancreatic masses

Content Provider	Scilit
Author	Okasha, HusseinHassan Naga, MazenIbrahim Esmat, Serag Farag, AliHassan Kassas, Mohamed El Naguib, Mohamed Hassanein, Mohamed Mahdy, ReemEzzat Foda, AymanMohamed El-Gemeie, Emad
Copyright Year	2013
Abstract	Objective: Pancreatic carcinoma is one of the leading cancer morbidity and mortality world-wide. Controversy has arisen about whether the percutaneous approach with computed tomography/ultrasonography-guidance fine needle aspiration (US-FNA) or endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the preferred method to obtain diagnostic tissue. Our purpose of this study is to compare between the diagnostic accuracy of EUS-FNA and percutaneous US-FNA in diagnosis of pancreatic cancer.Patients and Methods: A total of 197 patients with pancreatic masses were included in the study, 125 patients underwent US-FNA (Group 1) and 72 patients underwent EUS-FNA (Group 2).Results: EUS-FNA has nearly the same accuracy (88.9%) as US-FNA (87.2%) in diagnosis of pancreatic cancer. The sensitivity, specificity, positive predictive value and negative predictive value for EUS-FNA was 84%, 100%, 100%, 73.3% respectively. It was 85.5%, 90.4%, 94.7%, 76% respectively for US-FNA. EUS-FNA had a lower complication rate (1.38%) than US-FNA (5.6%).Conclusion: EUS-FNA has nearly the same accuracy as US-FNA of pancreatic masses with a lower complication rate.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062270/pdf
File Format	XHTML
ISSN	23039027
e-ISSN	22267190
DOI	10.4103/2303-9027.121239
Journal	Endoscopic Ultrasound
Issue Number	4
Volume Number	2
Language	English
Publisher	Medknow
Access Restriction	Open
Subject Keyword	Gastroenterology and Hepatology Pancreatic Cancer Ultrasound Endoscopic Ultrasound Fine Needle Aspiration Endoscopic Ultrasound, Volume 2, Issue 4
Content Type	Text
Resource Type	Article
Subject	Hepatology Radiology, Nuclear Medicine and Imaging Gastroenterology

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