Preliminary application of rapid on-site evaluation to the diagnosis of digestive space-occupying lesions by endoscopic ultrasound-guided fine needle aspiration in Xizang
10.3760/cma.j.cn321463-20231110-00397
- VernacularTitle:快速现场细胞学评估在西藏地区超声内镜细针穿刺诊断消化系占位中的初步应用
- Author:
Jing MU
1
;
Junxiong WANG
Author Information
1. 拉萨市人民医院消化内科，拉萨 850000
- Keywords:
Biopsy, fine-needle;
Endoscopic ultrasonography;
Fine needle aspiration;
Abdominal mass;
Rapid on-site evaluation
- From:
Chinese Journal of Digestive Endoscopy
2024;41(10):815-818
- CountryChina
- Language:Chinese
-
Abstract:
To explore the clinical application value of rapid on-site evaluation (ROSE) in endoscopic ultra sound-guided fine needle aspiration (EUS-FNA) for the diagnosis of digestive system space-occupying lesions, a retrospective analysis was conducted on 14 patients who underwent EUS-FNA at the Digestive Endoscopy Center of Lhasa People's Hospital from August 2022 to August 2023 due to abdominal or digestive tract space-occupying lesions. Seven cases underwent EUS-FNA combined with ROSE, and 7 cases underwent EUS-FNA only. Puncture and diagnosis of the two methods and the occurrence of complications were compared. All patients received procedures smoothly, and no adverse events or complications related to endoscopic procedure occurred during or after the operation. Patients who performed EUS-FNA combined with ROSE were punctured with 1.5±0.5 needles, and those who performed EUS-FNA alone were punctured with 2.6±0.4 needles. EUS-FNA combined with ROSE puncture was successful in 7 cases and EUS-FNA alone was successful in 6 cases. Among the patients who underwent EUS-FNA combined with ROSE, the diagnostic results were consistent with the final diagnosis in 6 cases, and in 5 cases who underwent EUS-FNA alone. ROSE is simple and convenient to operate, can reduce the number of EUS-FNA puncture, and improve the adequacy rate of EUS-FNA puncture samples and diagnostic accuracy, which is worth of further promotion and research.
