Direct intracystic biopsy and pancreatic cystoscopy through a 19-gauge needle EUS

被引：42

作者：

Aparicio, Jose R. ^{[1
]}

Martinez, Juan ^{[1
]}

Niveiro, Maria ^{[2
]}

Cabezas, Antonio ^{[2
]}

Ruiz, Francisco ^{[1
]}

De Madaria, Enrique ^{[3
]}

Casellas, Juan A. ^{[1
]}

机构：

[1] Hosp Gen Univ Alicante, Endoscopy Unit, Alicante 03013, Spain

[2] Hosp Gen Univ Alicante, Dept Pathol, Alicante 03013, Spain

[3] Hosp Gen Univ Alicante, Gastroenterol Sect, Alicante 03013, Spain

来源：

GASTROINTESTINAL ENDOSCOPY | 2010年 / 72卷 / 06期

关键词：

CYSTIC LESIONS; DIAGNOSIS; ASPIRATION; PREVALENCE;

D O I：

10.1016/j.gie.2010.08.036

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Histologic diagnosis of cystic pancreatic lesions (CPLs) is often difficult because of the low sensitivity of FNA and brush cytology. Objective: To discover whether obtaining biopsy samples from the cystic wall could increase the diagnostic yield of these lesions. Design: A pilot study including 2 patients with CPLs. Setting: Endoscopy unit in a tertiary-care hospital. Patients: Two women with CPLs located at the pancreatic head. Interventions: On EUS, biopsy forceps and a Spy Glass fiberoptic were passed through a 19-gauge needle to visualize and obtain samples from the cystic wall. Main Outcome Measurements: The histologic assessment was based on the obtained biopsy samples. Results: Both CPLs were considered to be mucinous cystoadenomas, because mucinous-like cylindric epithelium without cellular atypia was observed. Limitations: Pilot study. Conclusions: Obtaining biopsy samples from the wall of a CPL is now feasible. It represents a significant advantage in the diagnostic yield of this type of lesion.

引用

页码：1285 / 1288

页数：4

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