지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.1
- 수록면
- 116 - 121 (6page)
이용수
초록· 키워드
오류제보하기
Background/Aims: Although endoscopic ultrasound guided fine needle aspiration (EUS-FNA) has been introduced and its use has been increasing in Korea, there have not been many reports about its performance.
The aim of this study was to assess the utility of EUS-FNA without on-site cytopathologist in establishing the diagnosis of solid pancreatic and peripancreatic masses from a single institution in Korea.
Methods: Medical records of 139 patients who underwent EUS-FNA for pancreatic and peripancreatic solid mass in the year 2007, were retrospectively reviewed.
By comparing cytopathologic diagnosis of FNA with final diagnosis, sensitivity, specificity, and accuracy were determined, and factors influencing the accuracy as well as complications were analyzed. Results: One hundred twenty out of 139 cases had final diagnosis of malignancy. Sensitivity, specificity, and accuracy of EUS-FNA were 82%, 89%, and 83%, respectively, and positive and negative predictive values were 100% and 46%, respectively. As for factors influencing the accuracy of FNA, lesion size was marginally significant (p-value 0.08) by multivariate analysis.
Conclusions: EUS-FNA performed without on-site cytopathologist was found to be accurate and safe, and thus EUS-FNA should be a part of the standard management algorithm for pancreatic and peripancreatic mass.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Boudghene FP / 1994 / US and CT imaging features of intrapancreatic metastases / J Comput Assist Tomogr 18 : 905 ~ 910
Chang KJ / 2002 / Maximizing the yield of EUS-guided fine-needle aspiration / Gastrointest Endosc 56 : S28 ~ S34
Eloubeidi MA / 2003 / Endoscopic ultrasound- guided fine needle aspiration biopsy of patients with suspected pancreatic cancer: diagnostic accuracy and acute and 30-day compl
Ferrozzi F / 1997 / Pancreatic metastases: CT assessment / Eur Radiol 7 : 241 ~ 245
Gines A / 2005 / Prospective study of a Trucut needle for performing EUS-guided biopsy with EUS-guided FNA rescue / Gastrointest Endosc 62 : 597 ~ 601
Chang KJ / 2002 / Maximizing the yield of EUS-guided fine-needle aspiration / Gastrointest Endosc 56 : S28 ~ S34
Eloubeidi MA / 2003 / Endoscopic ultrasound- guided fine needle aspiration biopsy of patients with suspected pancreatic cancer: diagnostic accuracy and acute and 30-day compl
Ferrozzi F / 1997 / Pancreatic metastases: CT assessment / Eur Radiol 7 : 241 ~ 245
Gines A / 2005 / Prospective study of a Trucut needle for performing EUS-guided biopsy with EUS-guided FNA rescue / Gastrointest Endosc 62 : 597 ~ 601
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