Yield of endoscopic ultrasound-guided fine needle aspiration and endoscopic retrograde cholangiopancreatography for solid pancreatic neoplasms

Malak, Mohamed; Masuda, Daisuke; Ogura, Takeshi; Imoto, Akira; Abdelaal, Usama M.; Sabet, Eman A.; Dahab, Lotfy H. Abo; Higuchi, Kazuhide

doi:10.3109/00365521.2015.1086019

Cited by 14 publications

(11 citation statements)

References 29 publications

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“…Because agenesis of the dorsal pancreas is sometimes complicated by pancreatic tumors, such as ampullary carcinoma, 13 pancreatic neuroendocrine tumor, 14 pancreatic ductal adenocarcinoma, 15 and mucinous adenocarcinoma, 2 EUS-FNA-guided biopsy may be helpful. Malak et al 16 implied that EUS-FNA was more sensitive than ERCP cytology in diagnosing malignant pancreatic neoplasms. Each examination has its advantages; thus, a full understanding of the characteristics of each examination will be beneficial for correct diagnosis of the disease.…”

Section: Discussionmentioning

confidence: 99%

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Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Zhong

Ying

et al. 2019

J Int Med Res

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Agenesis of the dorsal pancreas is a rare congenital pancreatic malformation. We herein describe a 67-year-old woman with a 5-day history of lower back pain who was eventually diagnosed with agenesis of the dorsal pancreas. Abdominal computed tomography showed an enlarged pancreatic head, but the pancreatic body and tail were invisible. The magnetic resonance imaging findings were similar to the computed tomography findings. Magnetic resonance cholangiopancreatography showed that the major pancreatic duct was mildly dilated but otherwise normal. Endoscopic ultrasound revealed absence of the pancreatic body and tail, an enlarged head of the pancreas, and mild pancreatic duct dilation. The final diagnosis was dorsal pancreatic agenesis.

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Section: Discussionmentioning

confidence: 99%

“…Malak et al. 16 implied that EUS-FNA was more sensitive than ERCP cytology in diagnosing malignant pancreatic neoplasms. Each examination has its advantages; thus, a full understanding of the characteristics of each examination will be beneficial for correct diagnosis of the disease.…”

Section: Discussionmentioning

confidence: 99%

Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Zhong

Ying

et al. 2019

J Int Med Res

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“…5 Another study reported that the sensitivity of ENPD cytology for detecting malignancy in patients with pancreatic carcinomas measuring ≤20 mm was 83%. 26 Regarding the diagnosis of malignancy in patients with pancreatic carcinoma, Malak et al 39 reported sensitivity, specificity, and accuracy rates of 98.9%, 93.3%, and 98.1% for EUS-FNA, compared with 72.1%, 60%, and 71.4% for ERCP, suggesting that the diagnostic ability of EUS-FNA is significantly superior to that of ERCP. However, as mentioned above, EUS-FNA is limited for the diagnosis of pancreatic carcinomas measuring ≤ 10 mm.…”

Section: Ercpmentioning

confidence: 99%

Value of endoscopy for early diagnosis of pancreatic carcinoma

Yamashita

Kitano

Ashida

2019

Digestive Endoscopy

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Despite recent advances in diagnostic imaging modalities, most cases of pancreatic carcinoma are discovered at an unresectable stage, resulting in poor prognosis. Early diagnosis is essential to ensure curative treatment and improve the prognosis of pancreatic carcinoma. Imaging modalities with high diagnostic ability are necessary for the early diagnosis of pancreatic carcinoma. Endoscopic ultrasonography is a reliable and efficient diagnostic modality because it provides superior spatial resolution and should be incorporated into screening programs in patients at high risk of pancreatic carcinoma. Endoscopy facilitates cytopathological diagnosis based on samples collected via endoscopic ultrasonography-guided fine-needle aspiration and endoscopic retrograde cholangiopancreatography. Cytodiagnosis with endoscopic nasopancreatic drainage is useful in patients with carcinoma in situ. In this review, we highlight the potential role of endoscopy in the early diagnosis of pancreatic carcinoma. We provide an overview of the endoscopy tools used for the diagnosis of pancreatic carcinoma, discuss the diagnostic ability of these tools for small carcinomas and carcinomas in situ, and propose a strategy for endoscopybased screening of early pancreatic carcinoma.

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“…When deployed for distal CBD strictures, stenting via ERCP is successful in more than 90% of cases [115]. For diagnostic yield from ERCP-guided FNA of biopsies of solid pancreatic neoplasms, ERCP demonstrated sensitivity between 57.1% (for pancreatic body/tail neoplasms) and 82.4% (for pancreatic head neoplasms) [116].…”

Section: Usmentioning

confidence: 99%

ACR Appropriateness Criteria® Jaundice

Imaging¹,

Hindman²,

Goldstein³

2019

Journal of the American College of Radiology

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Jaundice is the end result of myriad causes, which makes the role of imaging in this setting particularly challenging. In the United States, the most common causes of all types of jaundice fall into four categories including hepatitis, alcoholic liver disease, blockage of the common bile duct by a gallstone or tumor, and toxic reaction to a drug or medicinal herb. Clinically, differentiating between the various potential etiologies of jaundice requires a detailed history, targeted physical examination, and pertinent laboratory studies, the results of which allow the physician to categorize the type of jaundice into mechanical or nonmechanical causes. Imaging modalities used to evaluate the jaundiced patient (all etiologies) include abdominal ultrasound (US), CT, MR cholangiopancreatography, endoscopic retrograde cholangiopancreatography and endoscopic US.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Yield of endoscopic ultrasound-guided fine needle aspiration and endoscopic retrograde cholangiopancreatography for solid pancreatic neoplasms

Abstract: EUS-FNA is superior to ERCP cytology for diagnosis of solid pancreatic neoplasms. Although combination of both procedures provide efficient tissue diagnosis and with a minimal adverse events rate, a prospective study including larger number of patients is required.

Cited by 14 publications

References 29 publications

Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Value of endoscopy for early diagnosis of pancreatic carcinoma

ACR Appropriateness Criteria® Jaundice

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