Is diagnostic accuracy of fine needle aspiration on solid pancreatic lesions aspiration-related? A multicentre randomised trial

Ilaria Tarantino, Roberto Di Mitri, Carlo Fabbri, Nico Pagano, Luca Barresi, Antonino Granata, Rosa Liotta, Filippo Mocciaro, Antonella Maimone, Paola Baccarini, Tuzzolino Fabio, Gabriele Curcio, Alessandro Repici, Mario Traina

Research output: Contribution to journalArticle

Abstract

Background: Endoscopic ultrasound fine needle aspiration has a central role in the diagnostic algorithm of solid pancreatic masses. Data comparing the fine needle aspiration performed with different aspiration volume and without aspiration are lacking. We compared endoscopic ultrasound fine needle aspiration performed with the 22 gauge needle with different aspiration volumes (10, 20 and 0. ml), for adequacy, diagnostic accuracy and complications. Methods: Prospective clinical study at four referral centres. Endoscopic ultrasound fine needle aspiration was performed with a 22G needle with both volume aspiration (10 and 20 cc) and without syringe, in randomly assigned sequence. The cyto-pathologist was blinded as to which aspiration was used for each specimen. Results: 100 patients met the inclusion criteria, 88 completed the study. The masses had a mean size of 32.21. ±. 11.24. mm. Sample adequacy evaluated on site was 87.5% with 20. ml aspiration vs. 76.1% with 10. ml (p= 0.051), and 45.4% without aspiration (20. ml vs. 0. ml p

Original languageEnglish
Pages (from-to)523-526
Number of pages4
JournalDigestive and Liver Disease
Volume46
Issue number6
DOIs
Publication statusPublished - 2014

Keywords

  • EUS-FNA
  • Pancreatic mass

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology
  • Medicine(all)

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