A prospective multicenter study of endoscopic ultrasound-guided fine needle biopsy using a 22-gauge Franseen needle for pancreatic solid lesions

被引:10
|
作者
Ishigaki, Kazunaga [1 ]
Nakai, Yousuke [1 ,2 ]
Sasahira, Naoki [3 ]
Sugimori, Kazuya [10 ]
Kitamura, Katsuya [4 ,5 ]
Iwai, Tomohisa [11 ]
Matsubara, Saburo [12 ]
Shimura, Kenji [14 ]
Itoi, Takao [6 ]
Ryozawa, Shomei [13 ]
Ushio, Jun [15 ]
Doi, Shinpei [16 ]
Imazu, Hiroo [7 ]
Maetani, Iruru [8 ]
Isayama, Hiroyuki [9 ]
机构
[1] Univ Tokyo, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan
[2] Univ Tokyo, Grad Sch Med, Dept Endoscopy & Endoscop Surg, Tokyo, Japan
[3] Tokyo Med Univ, Canc Inst Hosp JFCR, Dept Gastroenterol, Hachioji Med Ctr, Tokyo, Japan
[4] Tokyo Med Univ, Dept Gastroenterol & Hepatol, Hachioji Med Ctr, Tokyo, Japan
[5] Showa Univ, Sch Med, Dept Med, Div Gastroenterol, Tokyo, Japan
[6] Tokyo Med Univ Hosp, Dept Gastroenterol, Tokyo, Japan
[7] Nihon Univ, Dept Gastroenterol, Itabashi Hosp, Tokyo, Japan
[8] Toho Univ, Div Gastroenterol & Hepatol, Dept Internal Med, Ohashi Med Ctr, Tokyo, Japan
[9] Juntendo Univ, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan
[10] Yokohama City Univ, Gastroentel Ctr, Med Ctr, Yokohama, Kanagawa, Japan
[11] Kitasato Univ Hosp, Dept Gastroenterol, Sagamihara, Kanagawa, Japan
[12] Saitama Med Univ, Dept Gastroenterol & Hepatol, Saitama Med Ctr, Saitama, Japan
[13] Saitama Med Univ, Dept Gastroenterol, Int Med Ctr, Saitama, Japan
[14] Asahi Gen Hosp, Dept Gastroenterol, Chiba, Japan
[15] Jichi Med Univ Hosp, Dept Gastroenterol, Shimotsuke, Tochigi, Japan
[16] Teikyo Univ Hosp, Dept Gastroenterol, Kawasaki, Kanagawa, Japan
关键词
endoscopic ultrasound; endoscopic ultrasound‐ guided fine needle aspiration; fine‐ needle biopsy; pancreatic neoplasms; DIAGNOSTIC-ACCURACY; EUS-FNA; ASPIRATION; METAANALYSIS; STANDARD; SUCTION; MASSES; YIELD;
D O I
10.1111/jgh.15534
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and Aim While encouraging data of endoscopic ultrasound (EUS)-guided fine-needle biopsy (EUS-FNB) using a 22-gauge Franseen needle have been reported, large-scale data of per pass and quantitative analyses are still lacking. Methods This was a multicenter prospective study of EUS-FNB using the 22-gauge Franseen needle for a pancreatic solid lesion. Cytological and histological analyses per pass were evaluated and semi-quantitative analyses were performed on core tissue and blood contamination. Primary end-point was diagnostic accuracy per session. Prognostic factors were analyzed for diagnostic accuracy, sensitivity, core tissue, and blood contamination. Results A total of 629 passes were performed in 244 cases at 14 centers between 2018 and 2019. The median tumor size was 29 mm, and the puncture was transduodenal in 43%. The median pass number was 2. Diagnostic accuracy per session, at a first pass, and per pass were 93%, 90%, and 88%. In 198 cases with pancreatic cancer, diagnostic sensitivity per session, at a first pass, and per pass were 94%, 89%, and 89%. The rates of core tissue score of 4 and blood contamination score of 3 were 50% and 47%. The adverse event rate was 1.6%. In the multivariate analysis, tumor size <= 20 mm (odds ratio [OR] of 0.46, P = 0.03), transduodenal puncture (OR of 0.53, P = 0.04), and suction (OR of 0.16, P = 0.01) were associated with lower diagnostic accuracy. Conclusions The EUS-FNB using the 22-gauge Franseen needle for pancreatic solid lesions showed high per pass and overall diagnostic accuracy.
引用
收藏
页码:2754 / 2761
页数:8
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