Role of Repeated Endoscopic Ultrasound-Guided Fine Needle Aspiration for Inconclusive Initial Cytology Result.
- Author:
Eun Young KIM
1
Author Information
1. Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. kimey@cu.ac.kr
- Publication Type:Review
- Keywords:
Endosonography;
Endoscopic ultrasound-guided fine needle aspiration;
Pancreatic neoplasms
- MeSH:
Bile Ducts;
Biopsy;
Cholangiopancreatography, Endoscopic Retrograde;
Endoscopic Ultrasound-Guided Fine Needle Aspiration;
Endosonography;
Pancreatic Neoplasms
- From:Clinical Endoscopy
2013;46(5):540-542
- CountryRepublic of Korea
- Language:English
-
Abstract:
For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.
