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Factors affecting the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for upper gastrointestinal submucosal or extraluminal solid mass lesions
Rong, Long2; Kida, Mitsuhiro1; Yamauchi, Hiroshi1; Okuwaki, Kousuke1; Miyazawa, Shiro1; Iwai, Tomohisa1; Kikuchi, Hidehiko1; Watanabe, Maya1; Imaizumi, Hiroshi1; Koizumi, Wasaburo1
关键词endoscopic ultrasonography (EUS) EUS-guided fine-needle aspiration (EUS-FNA) pancreatic mass submucosal tumor
刊名DIGESTIVE ENDOSCOPY
2012-09-01
DOI10.1111/j.1443-1661.2012.01243.x
24期:5页:358-363
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology ; Surgery
研究领域[WOS]Gastroenterology & Hepatology ; Surgery
关键词[WOS]PANCREATIC MASSES ; CENTER EXPERIENCE ; 22-GAUGE ; BIOPSY ; PASSES ; YIELD
英文摘要

Aim: A number of potential variables are associated with the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA). The aim of this study was to evaluate factors affecting the diagnostic accuracy of EUS-FNA for upper gastrointestinal submucosal or extraluminal solid lesions. Methods: Patients with such lesions who underwent EUS-FNA between January 2009 and December 2010 were studied retrospectively. Needles of 22, 25 and 19 gauge were used. The associations between the EUS-FNA results and factors such as mass location, mass size, needle size, number of needle passes, combined histologic-cytologic analysis and final diagnosis were analyzed. Results: A total of 170 EUS-FNA procedures were performed in 158 patients with upper gastrointestinal submucosal or extraluminal solid lesions. The overall accuracy of EUS-FNA was 86.5% (147/170). The diagnostic accuracy with three or more needle passes was higher than with less than 3.0 needle passes (90.0%, 108/120 vs 78.0%, 39/50; P < 0.05). Mass location, mass size, and final diagnosis were not associated with EUS-FNA accuracy. Combined cytologic-histologic analysis had significantly higher diagnostic accuracy than either cytologic or histologic analysis alone (P < 0.001). In a subgroup of 90 patients, both 22 and 25 gauge needles were used for EUS-FNA. The overall diagnostic accuracy was similar for 25 gauge needles and 22 gauge needles (80.0% vs 78.9% P = 1.000) in this subgroup. Conclusion: Overall, 25 and 22 gauge needles have a similar diagnostic accuracy. Our results suggest that 3.0 or more needle passes and combined cytologic-histologic analysis enhance the diagnostic accuracy of EUS-FNA.

语种英语
WOS记录号WOS:000307947900011
资助机构Japan-China Sasakawa Medical Fellowship (Tokyo, Japan)
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被引频次:21[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67602
专题北京大学第一临床医学院_普通外科
作者单位1.Peking Univ, Hosp 1, Dept Gen Surg, Beijing, Peoples R China
2.Kitasato Univ, East Hosp, Dept Gastroenterol, Sagamihara, Kanagawa 2520380, Japan
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Rong, Long,Kida, Mitsuhiro,Yamauchi, Hiroshi,et al. Factors affecting the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for upper gastrointestinal submucosal or extraluminal solid mass lesions[J]. DIGESTIVE ENDOSCOPY,2012,24(5):358-363.
APA Rong, Long.,Kida, Mitsuhiro.,Yamauchi, Hiroshi.,Okuwaki, Kousuke.,Miyazawa, Shiro.,...&Koizumi, Wasaburo.(2012).Factors affecting the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for upper gastrointestinal submucosal or extraluminal solid mass lesions.DIGESTIVE ENDOSCOPY,24(5),358-363.
MLA Rong, Long,et al."Factors affecting the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for upper gastrointestinal submucosal or extraluminal solid mass lesions".DIGESTIVE ENDOSCOPY 24.5(2012):358-363.
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