THE EFFECTIVENESS OF EUS-GUIDED FINE NEEDLE ASPIRATION AND FINE NEEDLE FORCEPS BIOPSY AT PANCREATIC DISEASES IN THE PROCESS OF GAINING EXPERIENCE
https://doi.org/10.17238/PmJ1609-1175.2018.1.57-59
Abstract
Objective. The study objective is a comparative assessment of the effectiveness of the fine-needle aspiration biopsy and excisional biopsy under the control of the electronic radial echoendoscope in pancreas disorders. Methods. We analyzed the results of the diagnostics of 30 pancreas tumors in 28 patients aged 29-76 after the fine-needle aspiration biopsy and core needle biopsy. Results. According the results of postsurgical morphological examination, and according to catamnesis data, the diagnostics accuracy (95 % confidence interval) after the aspiration biopsy fell within the range of 84-100 %o, and after the excisional biopsy it was within the range of 38.2-75.2 %o. Conclusions. The obtained data confirmed the high sensibility and the singularity of fine-needle aspiration pancreas biopsy. Its advantage is a high safety caused by the low risk of complications. The method of getting the biopsy material using the fine-needle forceps under the control of the electronic radial echoendoscope has lower sensibility and its effectiveness requires further analysis
About the Authors
E. R. Dvoynikova
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
K. V. Stegniy
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
R. A. Goncharuk
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
M. Yu. Agapov
Отделенческая клиническая больница на ст. Владивосток ОАО РЖД
Russian Federation
Russian Federation
S. V. Ochkal
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
R. A. Polkin
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
References
1. Нечипай А.М., Орлов С.Ю., Федоров Е.Д. ЭУСбука. Руководство по эндоскопической ультрасонографии. М.: Практическая медицина, 2013. 400 с.
2. Орлов С.Ю., Федоров Е.В. Эндоскопическая ультрасонография при заболеваниях поджелудочной железы: пособие для врачей. М.: РГМУ, 2000. 48 с.
3. Состояние онкологической помощи населению России в 2016 году / под ред. А.Д. Каприна, В.В. Старинского, Г.В. Петровой. М.: МНИОИ им. П.А. Герцена, 2017. 236 с
4. Abraham S.C., Klimstra D.S., Wilentz R.E. [et al.]. Solid-pseudopapillary tumors of the pancreas are genetically distinct from pancreatic ductal adenocarcinomas and almost always harbor beta-catenin mutations // Am. J. Pathol. 2002. Vol. 160. P. 1361-1369.
5. De Castro S.M.M. Incidence and characteristics of chronic and lymphoplasmacytic sclerosing pancreatitis in patients scheduled to undergo a pancreatoduodenectomy. // HPB. 2010. No. 12. Р 15-21.
6. Eloubeidi M.A., Tamhane A., Varadarajulu S. [et al.]. Frequency of major complications after EUS-guided FNA of solid pancreatic masses: A prospective evaluation // Gastrointest. Endosc. 2006. Vol. 63. P. 622-629.
7. Giovannini M. An update on echoendoscopy with a curved array transducer in the evaluation of pancreatobiliary disease // Gastrointest. Clin. N. Am. 1995. Vol. 5, No. 4. P. 789-793.
8. Pitman M.B., Centeno B.A., Ali S.Z. [et al.]. Standardized terminology and nomenclature for pancreatobiliary cytology: The Papanicolaou Society of Cytopathology Guidelines // Cytojournal. 2014. Vol. 11 (Suppl. 1). P. 3.
9. Pitman M.B., Ctnteno B.A., Ali S.Z. [et al.]. Standardized terminology and nomenclature for pancreatobiliary cytology: The Papanicolaou Society of Cytopathology Guidelines // Cytojournal. 2014. Vol. 42, No. 4. P. 338-350.
10. Ramesh J., Bang J.Y., Hebert-Magee S. [et al.]. Randomized trial comparing the flexible 19G and 25G needles for endoscopic ultrasound-guided fine needle aspiration of solid pancreatic mass lesions // Pancreas. 2015. Vol. 44. P. 128-133.
11. Rösch T., Dittler H.J., Strobel K. [et al.]. Endoscopic ultrasound criteria of vascular invasion in thr staging of pancreatic cancer: a blind re-evaluation of videotapes // Gastrointest. Endosc. 2000. Vol. 52. P. 469-477.
12. Wang K.X., Ben Q.W, Jin Z.D. [et al.]. Assessment of morbidity and mortality associated with EUS-guided FNA: a systematic review // Gastrointest. Endosc. 2011. Vol. 73. P. 283-290.
13. Zhang M.M., Yang H., Jin Z.D. [et al.]. Differential diagnosis of pancreatic cancer from normal tissue with digital imaging processing and pattern recognition based on a support vector machine of EUS images // Gastrointest. Endosc. 2010. Vol. 72. P. 978-985.
Review
For citations:
Dvoynikova E.R., Stegniy K.V., Goncharuk R.A., Agapov M.Yu., Ochkal S.V., Polkin R.A. THE EFFECTIVENESS OF EUS-GUIDED FINE NEEDLE ASPIRATION AND FINE NEEDLE FORCEPS BIOPSY AT PANCREATIC DISEASES IN THE PROCESS OF GAINING EXPERIENCE. Pacific Medical Journal. 2018;(1):57-59. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2018.1.57-59
Views:
401
Email this article 