In small Bankart lesions, restoration of capsulolabral soft tissue tension alone may be enough, whereas in medium lesions, the osseous architecture of the glenoid should be reconstructed for more functional improvement and less pain.

Background and aim: Recently, endoscopic ultrasound (EUS)‐guided fine‐needle aspiration (FNA) has been introduced in the diagnosis of pancreatic lesions, adjacent lymph nodes, and organs. To investigate the usefulness of liquid‐based cytology (LBC) in EUS‐FNA, we compare the efficacy of the conventional smear (CS) and LBC in EUS‐FNA specimens. Methods: Forty‐three paired LBC and CS slides were obtained using a split sample protocol. The specimen adequacy and diagnostic values were compared. Results: The adequate cases for diagnosis were 36 (83.7%) in CS and 22 (51.2%) in LBC. Inadequate samples were mostly obtained from lymph nodes: 6 cases in CS and 17 in LBC. The sensitivity, specificity, and accuracy of CS and LBC were as follows: 90.5%, 95.5%, and 93.0% in CS, respectively, and 57.1%, 100%, and 79.1% in LBC. The false‐negative and false‐positive rates were 4.7% and 2.3% in CS, respectively, and 20.9% and 0% in LBC. The overall agreement of CS and LBC for the diagnosis of malignancy was high (κ= 0.616). Conclusions: CS is a more effective and adequate preparation method for use in EUS‐FNA‐based diagnosis. Considering the split sample protocol of this study, LBC is a comparable diagnostic tool to CS in the evaluation of EUS‐FNA specimens.

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