Comparison between two types of needles for Endoscopic Ultrasound (EUS)-guided fine aspiration biopsy of pancreatic and upper gastrointestinal masses

被引:11
|
作者
Alkhateeb, Khaled [1 ]
Lee, Beatrice B. [1 ]
Alatassi, Houda [1 ]
Sanders, Mary A. [1 ]
Omer, Endashaw M. [2 ]
McClave, Stephen A. [2 ]
Fraig, Mostafa [1 ,2 ]
机构
[1] Univ Louisville, Sch Med, Dept Pathol & Lab Med, Louisville, KY 40292 USA
[2] Univ Louisville, Sch Med, Dept Med, Louisville, KY 40292 USA
关键词
acquire fine-needle biopsy needle; endoscopic ultrasound fine-needle aspiration; fine-needle aspiration; fine-needle biopsy; Franseen fine-needle biopsy needle; GUIDED TISSUE ACQUISITION; 19-GAUGE TRUCUT NEEDLE; DIAGNOSTIC YIELD; MULTICENTER; TUMORS; FNA;
D O I
10.1002/dc.24361
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Background EUS-guided fine-needle aspiration (FNA) has long been the main method for sampling pancreatic lesions. Recently, the method of fine-needle biopsy (FNB) was introduced in practice, allowing for the acquisition of tissue cores while aspirating the lesion. We hereby report our experience with a new FNB needle compared with the standard FNA needle. Methods Retrospective data from our department were collected on patients who underwent FNB using the Acquire EUS-FNB needle (Boston Scientific, Massachusetts) and FNA using the EchoTip Ultra EUS-FNA Needle (Cook Medical, Indiana) between January 2017 and February 2018. The cases were reviewed independently by two cytopathologists and evaluated for the presence of cell block or core tissue material, adequacy for potential ancillary testing, and number of passes. Results The number of passes ranged from 1 to 16, with a mean of 5.52 +/- 3.74 in the FNA group, and from 1 to 6, with a mean of 2.74 +/- 1.11 passes in the FNB group (P < .0001). Tissue cores were present in 87.23% of the FNB needle samples. A cell block was adequate in 36.36% of cases using the FNA needle. The diagnostic yield as well as the adequacy for ancillary testing were significantly different between the two groups (P = .0001). The tumor size, location and patients' demographics were not statistically significant between the two groups. Conclusion Compared with the conventional needle, the new FNB needle was associated with a lower number of passes and a better yield for histological material.
引用
收藏
页码:197 / 202
页数:6
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