Effect of histological examination on the diagnosis of pancreatic mass using endoscopic ultrasound fine-needle aspiration
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Choi, Seong Ji | - |
dc.contributor.author | Lee, Jae Min | - |
dc.contributor.author | Lee, Kang Won | - |
dc.contributor.author | Choi, Hyuk Soon | - |
dc.contributor.author | Kim, Eun Sun | - |
dc.contributor.author | Keum, Bora | - |
dc.contributor.author | Yoon, Jai Hoon | - |
dc.contributor.author | Jeen, Yoon Tae | - |
dc.contributor.author | Chun, Hoon Jai | - |
dc.contributor.author | Lee, Hong Sik | - |
dc.contributor.author | Choi, Ho Soon | - |
dc.date.accessioned | 2021-10-25T08:40:16Z | - |
dc.date.available | 2021-10-25T08:40:16Z | - |
dc.date.issued | 2021-09 | - |
dc.identifier.issn | 1899-5276 | - |
dc.identifier.issn | 2451-2680 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54594 | - |
dc.description.abstract | Background. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a well-established method for the diagnosis of solid pancreatic lesions. However, the diagnostic yield of EUS-FNA for pancreatic lesions varies at around 70-90%. Samples from EUS-FNA consist of cells and tissues that can be analyzed separately, and the results can be combined for a final diagnosis. Objectives. To investigate the effect of cytological and histological analysis of EUS-FNA samples on the final diagnosis, and identify factors that may affect the accuracy of the cytological, histological, and overall analysis. Materials and methods. A single-center prospective observational study was conducted at a tertiary university hospital from July 2018 to June 2019. Patients who underwent EUS-FNA for pancreatic solid lesions with a 22-gauge EUS-FNA needle were included in our study. Liquid-based cytological analysis of the speci-men and histological analysis of the whitish core were performed, and factors that affected the diagnostic accuracy of each analysis were evaluated. Results. In 63 EUS-FNA samples, the overall diagnostic accuracy was 87.3%, which was significantly higher than the cytological accuracy of 73.8% (p = 0.031) and the histological accuracy of 69.8% (p = 0.001). Factors that affected the results differed in each group: 1) cytological analysis: size, location, and approach method; 2) histological analysis: specimen weight; and 3) overall analysis: size, location, and approach method. Conclusions. Histologic evaluation of core material obtained from EUS-FNA improved diagnostic accuracy, and factors that affected each result were analyzed. Further studies with prospective randomized trials are recommended to support our data. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Akademia Medyczna we Wroclawiu/Wroclaw Medical University | - |
dc.title | Effect of histological examination on the diagnosis of pancreatic mass using endoscopic ultrasound fine-needle aspiration | - |
dc.type | Article | - |
dc.publisher.location | 폴란드 | - |
dc.identifier.doi | 10.17219/acem/136278 | - |
dc.identifier.scopusid | 2-s2.0-85114004847 | - |
dc.identifier.wosid | 000704583000002 | - |
dc.identifier.bibliographicCitation | Advances in Clinical and Experimental Medicine, v.30, no.9, pp 885 - 891 | - |
dc.citation.title | Advances in Clinical and Experimental Medicine | - |
dc.citation.volume | 30 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 885 | - |
dc.citation.endPage | 891 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Research & Experimental Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, Research & Experimental | - |
dc.subject.keywordPlus | EUS-GUIDED FNA | - |
dc.subject.keywordPlus | BIOPSY | - |
dc.subject.keywordPlus | LESIONS | - |
dc.subject.keywordPlus | YIELD | - |
dc.subject.keywordPlus | ULTRASONOGRAPHY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | IMPROVE | - |
dc.subject.keywordAuthor | endosonography | - |
dc.subject.keywordAuthor | diagnosis | - |
dc.subject.keywordAuthor | pancreatic neoplasms | - |
dc.subject.keywordAuthor | endoscopic ultrasound-guided fine-needle aspiration | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
73, Goryeodae-ro, Seongbuk-gu, Seoul, Republic of Korea (02841)82-2-2286-1265
COPYRIGHT 2020 KOREA UNIVERSITY MEDICAL LIBRARY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.