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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.7
- 수록면
- 559 - 566 (8page)
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초록· 키워드
오류제보하기
Background/Aims: The superiority of endoscopic ultrasound- guided fine needle biopsy (EUS-FNB) over EUS-guided fine needle aspiration (EUS-FNA) remains controversial.
Given the lack of studies analyzing histologic specimens acquired from EUS-FNB or EUS-FNA, we compared the proportion of the histologic core obtained from both techniques.
Methods: A total of 58 consecutive patients with solid mass lesions were enrolled and randomly assigned to the EUSFNA or EUS-FNB groups. The opposite needle was used after the failure of core tissue acquisition using the initial needle with up to three passes. Using computerized analyses of the scanned histologic slide, the overall area and the area of the histologic core portion in specimens obtained by the two techniques were compared. Results: No significant differences were identified between the two groups with respect to demographic and clinical characteristics. Fewer needle passes were required to obtain core specimens in the FNB group (p<0.001). There were no differences in the proportion of histologic core (11.8%±19.5% vs 8.0%±11.1%, p=0.376) or in the diagnostic accuracy (80.6% vs 81.5%, p=0.935) between two groups. Conclusions: The proportion of histologic core and the diagnostic accuracy were comparable between the FNB and FNA groups. However, fewer needle passes were required to establish an accurate diagnosis in EUS-FNB.
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참고문헌 (24)
참고문헌 신청
Chang KJ / 1994 / Endoscopic ultrasound-guided fine needle aspiration of pancreatic carcinoma / Am J Gastroenterol 89:263~266
Vilmann P / 1993 / Endosonographically- guided fine needle aspiration biopsy of malignant lesions in the upper gastrointestinal tract / Endoscopy 25:523~527
Wiersema MJ / 1994 / Mediastinal histoplasmosis: evaluation with endosonography and endoscopic fine-needle aspiration biopsy / Gastrointest Endosc 40:78~81
Hewitt MJ / 2012 / EUS-guided FNA for diagnosis of solid pancreatic neoplasms: a meta-analysis / Gastrointest Endosc 75:319~331
Chen G / 2013 / Diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration for pancreatic cancer: a meta-analysis / Pancreatology 13:298~304
Vilmann P / 1993 / Endosonographically- guided fine needle aspiration biopsy of malignant lesions in the upper gastrointestinal tract / Endoscopy 25:523~527
Wiersema MJ / 1994 / Mediastinal histoplasmosis: evaluation with endosonography and endoscopic fine-needle aspiration biopsy / Gastrointest Endosc 40:78~81
Hewitt MJ / 2012 / EUS-guided FNA for diagnosis of solid pancreatic neoplasms: a meta-analysis / Gastrointest Endosc 75:319~331
Chen G / 2013 / Diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration for pancreatic cancer: a meta-analysis / Pancreatology 13:298~304
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