The Utility of Repeat Endoscopic Ultrasound-Guided Fine Needle Aspiration for Suspected Pancreatic Cancer
Joint Authors
Chauhan, Shailendra S.
Wagh, Mihir S.
Nicaud, Mark
Hou, Wei
Draganov, Peter V.
Collins, Dennis
Source
Gastroenterology Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-12-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
The utility of repeat EUS in patients with suspicion for pancreatic cancer after non-diagnostic EUS-FNA study is not well established.
Aim.
Determine the accuracy of repeat EUS-FNA in patients with suspected pancreatic cancer and prior non-diagnostic EUS-FNA.
Methods.
Retrospective cohort study.
Results.
From 2002 to 2008 in our institution 28 patients underwent repeat EUS-FNA for suspected pancreatic cancer.
Initial EUS showed a pancreatic mass in 24 (85.71%), no mass in 3 (10.71%) and possible mass in 1 (3.58%).
FNA was performed and was negative for malignancy in all patients.
Repeat EUS showed pancreatic mass in 27 patients (96.42%) and no mass in 1 (3.58%).
FNA was performed in all patients and cytology was positive for malignancy in 6 (21.43%).
Out of the 28 patients, 17 (60.71%) were eventually confirmed to have cancer.
Overall repeat EUS-FNA correctly determined the true final status in 17 out of 28 patients providing sensitivity for the diagnosis of cancer of 35% (95% CI 14%–62%), specificity 100% (95% CI 72%–100%), and overall accuracy of 61%, (95% CI 28%–72%).
Conclusion.
Repeat EUS-FNA provides reasonable accuracy and may be worthwhile in patients with suspected pancreatic cancer who had had prior negative EUS-FNA.
American Psychological Association (APA)
Nicaud, Mark& Hou, Wei& Collins, Dennis& Wagh, Mihir S.& Chauhan, Shailendra S.& Draganov, Peter V.. 2010. The Utility of Repeat Endoscopic Ultrasound-Guided Fine Needle Aspiration for Suspected Pancreatic Cancer. Gastroenterology Research and Practice،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-458906
Modern Language Association (MLA)
Nicaud, Mark…[et al.]. The Utility of Repeat Endoscopic Ultrasound-Guided Fine Needle Aspiration for Suspected Pancreatic Cancer. Gastroenterology Research and Practice No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-458906
American Medical Association (AMA)
Nicaud, Mark& Hou, Wei& Collins, Dennis& Wagh, Mihir S.& Chauhan, Shailendra S.& Draganov, Peter V.. The Utility of Repeat Endoscopic Ultrasound-Guided Fine Needle Aspiration for Suspected Pancreatic Cancer. Gastroenterology Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-458906
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458906