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KMID : 0359020130460050540
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Korean Journal of Gastrointestinal Endoscopy
2013 Volume.46 No. 5 p.540 ~ p.542
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Role of Repeated Endoscopic Ultrasound-Guided Fine Needle Aspiration for Inconclusive Initial Cytology Result
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Kim Eun-Young
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Abstract
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For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.
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KEYWORD
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Endosonography, Endoscopic ultrasound-guided fine needle aspiration, Pancreatic neoplasms
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