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Does endoscopic ultrasound-guided fine-needle aspiration of pancreatic cystic lesions provides adequate material for cytology and biochemical analysis ?

Journal Volume 76 - 2013
Issue Fasc.1 - Letters
Author(s) Mavrogenis Georgios, Birgit Weynand, Alain Sibille, Gérald Longheval, Philippe Warzée
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(1) Department of Gastroenterology, Grand Hôpital de Charleroi, Site Notre Dame, Charleroi, Belgium ; (2) Department of Pathology, Centre hospitalier universitaire de Mont-Godinne, Université Catholique de Louvain, Mont-Godinne, Yvoir, Belgium.

Recent data suggest that endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) is of limited value in the management of pancreatic cysts (1). In this prospective study endoscopic ultrasound (EUS)-guided FNA was done in 128 patients. Material was sent for cytology from 124/128 patients (96.8%). A classifying diagnosis was obtained in only 44/124 patients (35.4%). Sufficient fluid was available for biochemical analysis in 80/124 cases (64.5%) and analysis succeeded in 70/124 patients (56.4%). Given these results the authors concluded that EUS-FNA has a limited role in the diagnostic approach of pancreatic cysts.

© Acta Gastro-Enterologica Belgica.
PMID 23650788