The diagnostic value of endoscopic ultrasonography guided fine needle aspiration for occupying pancreatic lesions
10.3760/cma.j.issn.1007-5232.2016.12.008
- VernacularTitle:内镜超声引导下细针穿刺活检对胰腺占位性病变的诊断价值
- Author:
Zhen FAN
;
Le ZHANG
;
Xiaofeng ZHANG
;
Ping HUANG
;
Wen LYU
;
Xia WANG
;
Youan ZHAO
- Keywords:
Ultrasonography;
Pancreatic diseases;
Cytopathology;
Histopathology;
Fine needle aspiration
- From:
Chinese Journal of Digestive Endoscopy
2016;33(12):847-850
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate safety and efficacy of EUS-FNA for occupying pancreatic lesions.Methods Data of 62 patients with occupying pancreatic lesions,who underwent EUS-FNA between June 2011 and June 2014,were analyzed for completion and complications,with surgery and clinical follow-up as the golden standard.Accuracy,sensitivity and specificity of EUS-FNA were calculated.Results A total of 62 patients with pancreatic lesions successfully underwent EUS-FNA and median puncture number was 4.2(3 to 8).Success rate of puncture was 100％ and sampling satisfaction rate was 90.3％ (56/62).No complications such as fever,infection,bleeding,perforation,severe pancreatitis or death were found.With the final diagnosis as the golden standard(39 malignant lesions and 23 benign lesions),overall diagnostic accuracy of EUS-FNA was 88.7％(55/62).The cytology diagnostic accuracy was 69.4％ (43/62),significantly higher than that of the tissue pathology of 30.6％ (19/62,P＜0.01).Sensitivity and specificity of the procedure were 87.2％(34/39) and 91.3％(21/23) respectively.Conclusion EUS-FNA is an effective and safe procedure in diagnosis of occupying pancreatic lesions.
