Endoscopic ultrasound-guided fine needle aspiration with 22- and 25-gauge needles in solid pancreatic masses: A prospective comparative study with randomisation of needle sequence

Fabbri, Carlo; Polifemo, Anna Maria; Luigiano, Carmelo; Cennamo, Vincenzo; Baccarini, Paola; Collina, Guido; Fornelli, Adele; Macchia, S.; Zanini, Nicola; Jovine, Elio; Fiscaletti, Marta; Alibrandi, Angela; D’Imperio, N.

doi:10.1016/j.dld.2011.04.005

Cited by 96 publications

(80 citation statements)

References 27 publications

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“…A 25-gauge needle is therefore recommended to puncture the head of the pancreas 4 . Several studies have compared the performance characteristics of a 22-gauge needle with those of a 25-gauge FNA needle for sampling pancreatic masses, but most have failed to demonstrate superiority of either needle [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] . A recent systematic review and meta-analysis of EUS-FNA for solid pancreatic masses, including a large cohort of patients, revealed that a 25-gauge needle was more sensitive than a 22-gauge needle 23 .…”

Section: Discussionmentioning

confidence: 99%

High and low negative pressure suction techniques in EUS-guided fine-needle tissue acquisition by using 25-gauge needles: a multicenter, prospective, randomized, controlled trial

Kudo

Kawakami

Hayashi

et al. 2014

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

High and low negative pressure suction techniques in EUS-guided fine-needle tissue acquisition by using 25-gauge needles: a multicenter, prospective, randomized, controlled trial

Kudo

Kawakami

Hayashi

et al. 2014

Gastrointestinal Endoscopy

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“…However, the comparisons for the same lesion, which is the best way to compare the two needles directly, were not made in both studies. Although Fabbri et al conducted a prospective comparative study with 50 masses in which the needle sequence was randomized for a mass, reporting the same diagnostic accuracy, the number of patients was insufficient [13]. In this prospective randomized trial, the authors tried to compare 25G and 22G in diagnostic accuracy, manipulability from the operator's viewpoint and procedure-related complications for EUS-FNA for solid or cystic pancreatic masses.…”

Section: Introductionmentioning

confidence: 97%

A prospective, randomized trial comparing 25-gauge and 22-gauge needles for endoscopic ultrasound-guided fine needle aspiration of pancreatic masses

Lee

Choi

et al. 2013

Scandinavian Journal of Gastroenterology

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“…16,30,31 Although these studies showed no significant difference in diagnostic accuracy, there was a trend toward better performance with the 25-gauge needle for pancreatic head but not body or tail masses. 30,31 It is reasonably speculated that a smaller-caliber needle may reduce bleeding/hemorrhage and thereby increase cellular yield. To date, there are no studies comparing ROSE performance using 22-gauge versus 25-gauge needles.…”

Section: Factors Influencing Rosementioning

confidence: 86%

Rapid On-Site Evaluation for Endoscopic Ultrasound–Guided Fine-Needle Aspiration Diagnosis of Pancreatic Lesions

Cai

Sun

Aslanian

et al. 2015

Pathology Case Reviews

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Rapid on-site evaluation (ROSE) has repeatedly been shown to improve diagnostic performance of endoscopic ultrasound-guided fineneedle aspiration of pancreatic lesions. However, the practice of providing ROSE service varies among institutions. ROSE helps to ensure adequate sampling, appropriate specimen triage, and timely patient management. In this review, we discuss the practice and clinical significance of ROSE, the factors influencing the ROSE diagnosis, the financial considerations for providing ROSE service, and pitfalls to render a ROSE diagnosis.A 22-year-old woman was found to have a pancreatic mass during workup for acute lower abdominal pain. She was referred to our institution for further evaluation. Endoscopic ultrasound (EUS) revealed a predominantly solid mass in the head of the pancreas without involvement of adjacent vasculature. Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed with rapid on-site evaluation (ROSE). The Diff-Quik-stained smears were cellular and consisted of papillary and dyscohesive clusters as well as single epithelioid cells (Fig. 1). The tumor cells were uniform and had oval nuclei (Fig. 2). Based on clinical presentation and cytomorphologic features, the ROSE diagnosis was "suspicious for solid pseudopapillary neoplasm." Additional passes were performed to collect material for cell block preparation. The Papanicolaou-stained smears showed similar cytomorphologic features. The tumor cells had evenly distributed chromatin, longitudinal nuclear grooves, and small nucleoli (Fig. 3). Immunocytochemical studies were performed on the cell block sections to substantiate the diagnosis. The tumor cells were positive for vimentin (Fig. 4), CD10, and β-catenin (Fig. 5) and negative for AE1/AE3 (Fig. 6), chromogranin, and synaptophysin. The final cytological diagnosis was "consistent with solid pseudopapillary neoplasm," which was confirmed on surgical pathology.

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Endoscopic ultrasound-guided fine needle aspiration with 22- and 25-gauge needles in solid pancreatic masses: A prospective comparative study with randomisation of needle sequence

Cited by 96 publications

References 27 publications

High and low negative pressure suction techniques in EUS-guided fine-needle tissue acquisition by using 25-gauge needles: a multicenter, prospective, randomized, controlled trial

High and low negative pressure suction techniques in EUS-guided fine-needle tissue acquisition by using 25-gauge needles: a multicenter, prospective, randomized, controlled trial

A prospective, randomized trial comparing 25-gauge and 22-gauge needles for endoscopic ultrasound-guided fine needle aspiration of pancreatic masses

Rapid On-Site Evaluation for Endoscopic Ultrasound–Guided Fine-Needle Aspiration Diagnosis of Pancreatic Lesions

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