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Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Patients with Suspected Pancreatic Cancer: Diagnostic Yield and Associated Change in Access to Appropriate Care
المؤلفون المشاركون
Enns, Robert
Telford, Jennifer
Mitchell, Robert A.
Shuster, Constantin
Stanger, Dylan
Lam, Eric
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-08-25
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
There is a high incidence of inconclusive cytopathology at initial EUS-FNA (endoscopic ultrasound-guided fine-needle aspiration) for suspected malignant pancreatic lesions.
To obtain appropriate preoperative or palliative chemotherapy for pancreatic cancer, definitive cytopathology is often required.
The utility of repeat EUS-FNA is not well established.
Methods.
A retrospective cohort study was conducted evaluating the yield of repeat EUS-FNA in determining a cytological diagnosis in patients who had undergone a prior EUS-FNA for diagnosis of suspected malignant pancreatic lesions with inconclusive cytopathology.
The wait times to the second procedure and to decisions regarding therapy were calculated.
Results.
Overall, 45 repeat EUS-FNA procedures were performed over seven years for suspected malignant pancreatic lesions.
Cytopathological class (I to IV) changed between first and second EUS-FNA in 32 patients (71%).
Of 34 patients with an initially nonconclusive diagnosis, 20 had a conclusive diagnosis (59%) on repeat EUS-FNA.
The cumulative yield after repeat EUS-FNA for definite pancreatic adenocarcinoma was 7 (16%).
The median time interval between first and second EUS-FNA was 31 (7–175) days.
Conclusions.
A substantial number of patients had a definitive diagnosis of adenocarcinoma on repeat FNA and were, therefore, subsequently able to access appropriate care.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mitchell, Robert A.& Stanger, Dylan& Shuster, Constantin& Telford, Jennifer& Lam, Eric& Enns, Robert. 2016. Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Patients with Suspected Pancreatic Cancer: Diagnostic Yield and Associated Change in Access to Appropriate Care. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099929
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mitchell, Robert A.…[et al.]. Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Patients with Suspected Pancreatic Cancer: Diagnostic Yield and Associated Change in Access to Appropriate Care. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1099929
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mitchell, Robert A.& Stanger, Dylan& Shuster, Constantin& Telford, Jennifer& Lam, Eric& Enns, Robert. Repeat Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Patients with Suspected Pancreatic Cancer: Diagnostic Yield and Associated Change in Access to Appropriate Care. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1099929
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1099929
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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