Endoscopic Ultrasound-Guided Fine-Needle Biopsy versus Fine-Needle Aspiration in the Diagnosis of Focal Liver Lesions: Prospective Head-to-Head Comparison

被引:9
作者
Gheorghiu, Marcel [1 ]
Seicean, Andrada [2 ]
Bolboaca, Sorana D. [3 ]
Rusu, Ioana [1 ,2 ]
Seicean, Radu [4 ]
Pojoga, Cristina [2 ,5 ]
Mosteanu, Ofelia [1 ,2 ]
Sparchez, Zeno [1 ,2 ]
机构
[1] Iuliu Hatieganu Univ Med & Pharm, Dept Gastroenterol, Cluj Napoca 400192, Romania
[2] Reg Inst Gastroenterol & Hepatol Prof Dr Octavian, Dept Gastroenterol, Cluj Napoca 400192, Romania
[3] Iuliu Hatieganu Univ Med & Pharm, Dept Med Informat & Biostat, Cluj Napoca 400349, Romania
[4] Hatieganu Univ Med & Pharm, Surg Dept 1, Cluj Napoca 400005, Romania
[5] Babes Bolyai Univ, Dept Clin Psychol & Psychotherapy, Cluj Napoca 400029, Romania
关键词
fine-needle aspiration (FNA); fine-needle biopsy (FNB); focal liver lesions; endoscopic ultrasonography (EUS); diagnostic; immunohistochemistry; liver; 19-GAUGE NEEDLE; CORE NEEDLE; MASS; FNA;
D O I
10.3390/diagnostics12092214
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) or fine-needle aspiration (EUS-FNA) from focal liver lesions are indicated in selected cases, but there has been no previous comparison of needle types of the same size. The aim of our study was to compare the histologic diagnostic accuracy and adequacy of cores obtained with EUS-FNB needles in contrast to those obtained with FNA needles in focal liver lesions. This prospective one-center study included patients with left lobe hepatic focal lesions with contraindications for percutaneous liver biopsy or need for EUS for concomitant lesions. Each patient had one pass of 22G EUS-FNB (Franseen) needle and one pass of 22G EUS-FNA in a crossover manner, without macroscopic on-site evaluation. Each sample was analyzed separately for histologic adequacy and diagnosis. The final diagnosis was based on histology results or on imaging follow-up in the case of negative biopsies. The EUS-FNB samples (n = 30) were found to be more adequate for histologic analysis, with more cellularity and longer tissue aggregates than the EUS-FNA samples (n = 30). The accuracy of EUS-FNB was 100%, whereas that of EUS-FNA was 86.7% (p = 0.039). No post-procedure complications were noted. The 22G EUS-FNB needle proved superior to 22G EUS-FNA in terms of tissue acquisition diagnostic accuracy and histologic adequacy in focal liver lesions.
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页数:10
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