Saudi Journal of Gastroenterology

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 18  |  Issue : 6  |  Page : 358--363

Efficacy of endoscopic ultrasound guided fine needle aspiration in patients with solid pancreatic neoplasms


Mahmud Baghbanian1, Bijan Shabazkhani2, Hadi Ghofrani2, Hosein Forutan2, Naser Dariani2, Mohamadjafar Farahvash2, Najmeh Aletaha2 
1 Department of Gastroenterology, Shahid Sadoghi University of Medical Sciences, Yazd, Iran
2 Department of Gastroenterology, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Mahmud Baghbanian
GI Endoscopy Ward, Shahid Sadoghi Hospital, Shahid Sadoghi University of Medical Sciences, Yazd
Iran

Background/Aim: Endosonography is a distinct method for evaluating the structural lesions of the gastrointestinal (GI) tract, particularly the pancreatobilliary region. This procedure has made a fundamental change in the diagnosis of pancreatic mass lesion through providing fine needle aspiration. This study aims at evaluating the results and efficacy of endoscopic ultrasound fine needle aspiration (EUS-FNA) in patients with pancreatic solid mass. Patients and Methods: The present study is an observational, prospective case series nature, evaluated patients with pancreatic solid mass referred to Imam Khomeini educational hospital in Tehran for a duration of one year since November 2010. In order to determine the false negative cases, the patients were followed-up from 6 to 12 months. Results: EUS-FNA was conducted on all 53 patients without any complication. The majority of patients included in the study were males (68%) and 81% of patients had a mass in the head of pancreas. The result of cytopathology revealed 36 adenocarcinomas (68%), 7 other malignancies (13%), benign lesions (6%) and 7 non-diagnostic cases (13%). The frequency of non-diagnostic results was significantly high in masses smaller than 3 cm (6 vs. 1, P < 0.002). Patients with non-diagnostic result were younger than those with malignant cytopathology (52 ± 7.5 vs. 66 ± 7.5 years, P < 0.001).. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of this procedure concerning Adenocarcinoma were 88%, 100%, 100%, 70% and 90%, respectively. Conclusion: EUS - FNA is an effective and safe procedure in histopathologic diagnosis of pancreatic tumors. This procedure is useful in all pancreatic mass cases including resectable and non-resectable ones.


How to cite this article:
Baghbanian M, Shabazkhani B, Ghofrani H, Forutan H, Dariani N, Farahvash M, Aletaha N. Efficacy of endoscopic ultrasound guided fine needle aspiration in patients with solid pancreatic neoplasms.Saudi J Gastroenterol 2012;18:358-363


How to cite this URL:
Baghbanian M, Shabazkhani B, Ghofrani H, Forutan H, Dariani N, Farahvash M, Aletaha N. Efficacy of endoscopic ultrasound guided fine needle aspiration in patients with solid pancreatic neoplasms. Saudi J Gastroenterol [serial online] 2012 [cited 2020 Jul 11 ];18:358-363
Available from: http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2012;volume=18;issue=6;spage=358;epage=363;aulast=Baghbanian;type=0