Gastrointestinal Endoscopic Ultrasound‐Guided Fine‐Needle Aspiration for Assessing Suspected Deep Pelvic or Abdominal Recurrence in Gynecologic Cancer: A Feasibility Study

Súbtil, José Carlos; Alcázar, Juan Luis; Betés, Maite; Mínguez, J.; Zozaya, Francisco Javier; Chacón, Enrique; Manzour, Nabil; Hidalgo, A.; Lozano, Marı́a D.; Muñoz-Navas, Miguel; Jurado, M.

doi:10.1002/jum.14766

Cited by 4 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Comparable results have been reported in some international studies. Subtil et al ( 17 ) reported a diagnostic accuracy of 90.3% among 46 patients with gynecologic tumors and suspected recurrent pelvic metastases using EUS-FNA; this result was similar to our results. Fernández-Esparrach et al ( 18 ) concluded that EUS-FNA has a high diagnostic accuracy for perirectal recurrences of rectal cancer.…”

Section: Discussionsupporting

confidence: 92%

Transrectal endoscopic ultrasound-guided fine-needle aspiration biopsy for qualitative diagnosis of pelvic space-occupying lesions: a diagnostic test

Cai¹,

Cheng²,

Fang³

et al. 2022

Transl Cancer Res TCR

View full text Add to dashboard Cite

Background: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is an effective technique for qualitative diagnosis of space occupying lesions in and around the wall of the digestive tract. At present, there are many studies on EUS-FNA via the upper gastrointestinal route, while there are few studies on EUS-FNA via the lower gastrointestinal route, especially for Chinese patients with pelvic mass. Therefore, this study sought to evaluate the value of transrectal EUS-FNA in the qualitative diagnosis of pelvic masses in Chinese patients. Methods:The clinical data of 35 patients with pelvic masses who underwent EUS-FNA at our hospital were collected from September 2014 to December 2021. Among these patients, 10 underwent surgical treatment after EUS-FNA, and a diagnosis was made based on a pathologic evaluation. The EUS-FNA biopsy results were compared to the final diagnostic results to calculate the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of EUS-FNA in the diagnosis of malignant pelvic mass. For the 10 patients who underwent surgery, the final diagnoses were based on the pathologic findings of surgical specimens, and for the 25 patients who did not undergo surgery, the final diagnoses were based on the malignant pathological results of EUS-FNA or clinical follow-up results.Results: Among the 35 patients, 12 had benign lesions, including pelvic abscesses, cysts, and inflammatory masses, and 23 had malignant lesions, including mesenchymal tumors, leiomyosarcomas, teratomas, and malignant tumors with pelvic metastases. There were no complications resulting from the biopsy punctures.The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of EUS-FNAs for the diagnosis of malignant pelvic masses were 91.3% (21/23), 100.0% (12/12), 100.0% (21/21), 85.7% (12/14), and 94.3% (33/35), respectively.Conclusions: EUS-FNA is a safe and effective method for the qualitative diagnosis of pelvic masses, and has good clinical application value.

show abstract

Section: Discussionsupporting

confidence: 92%

Transrectal endoscopic ultrasound-guided fine-needle aspiration biopsy for qualitative diagnosis of pelvic space-occupying lesions: a diagnostic test

Cai¹,

Cheng²,

Fang³

et al. 2022

Transl Cancer Res TCR

View full text Add to dashboard Cite

show abstract

“…José et al . 18 reported that the accuracy rate of EUS-FNA was as high as 95.4% when utilized to evaluate lesions that could not be reached by other imaging techniques, which is very similar to the conclusions drawn by other studies. 19…”

Section: Diagnostic Value Of Eus In Benign Pelvic Masses With Colorec...supporting

confidence: 84%

“…EUS-FNA is a minimally invasive, feasible, and safe examination method for the pelvic and abdominal recurrence of gynecological tumors. José et al 18 reported that the accuracy rate of EUS-FNA was as high as 95.4% when utilized to evaluate lesions that could not be reached by other imaging techniques, which is very similar to the conclusions drawn by other studies. Aline et al 22 verified the diagnostic value of EUS-FNA for colorectal endometriosis; however, their final result was different from their hypothesis, which may be attributed to several factors, including insufficient puncture times, insufficient lesion targeting, and lack of experience in the field cell pathology.…”

Section: Diagnostic Value Of Eus-derived Technologies For Colorectal ...supporting

confidence: 73%

Diagnostic value of endoscopic ultrasonography in pelvic masses with bowel involvement

She

Guo

2023

Therap Adv Gastroenterol

View full text Add to dashboard Cite

Benign and malignant pelvic masses with or without intestinal invasion are common in women of childbearing age. Patients may have nonspecific symptoms and signs or experience no symptoms. Laparoscopic resection of pelvic masses is currently the mainstream treatment; therefore, accurate preoperative evaluation is not only essential for patients suspected of having intestinal invasion, but also extremely important for the selection of follow-up treatment. Procedures, including endoscopic ultrasonography (EUS), pelvic magnetic resonance imaging, abdominal computed tomography, vaginal ultrasonography, barium enema, and colonoscopy, aid in determining the presence, depth, and histology of the disease. In particular, the wide application and continuous developments in EUS techniques have improved the diagnostic accuracy for intestinal subepithelial and peripheral organ lesions. This article reviewed the clinical value of EUS in the diagnosis of benign and malignant pelvic masses with bowel involvement.

show abstract

Extremely Late Recurrence of Ovarian Carcinoma Diagnosed by an Endoscopic Ultrasound-guided Fine-needle Biopsy

et al. 2021

View full text Add to dashboard Cite

We herein report a case of recurrence of epithelial ovarian carcinoma 41 years after the primary surgery that was diagnosed by an endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB). The differential diagnosis based on the imaging findings was difficult. We performed an EUS-FNB and compared the EUS-FNB specimen to the surgical specimen that had been resected in the primary surgery for ovarian carcinoma 41 years earlier, including immunohistochemical staining. Finally, we made a definitive diagnosis of extremely late recurrence of ovarian carcinoma of the retroperitoneum. An EUS-FNB enables an accurate histological diagnosis by obtaining a sample that is large enough to perform immunohistochemical staining.

show abstract

Gastrointestinal Endoscopic Ultrasound‐Guided Fine‐Needle Aspiration for Assessing Suspected Deep Pelvic or Abdominal Recurrence in Gynecologic Cancer: A Feasibility Study

Abstract: Endoscopic ultrasound-guided FNA is a minimally invasive, feasible, and safe technique for confirming pelvic/abdominal recurrence of gynecologic cancer.

Cited by 4 publications

References 21 publications

Transrectal endoscopic ultrasound-guided fine-needle aspiration biopsy for qualitative diagnosis of pelvic space-occupying lesions: a diagnostic test

Transrectal endoscopic ultrasound-guided fine-needle aspiration biopsy for qualitative diagnosis of pelvic space-occupying lesions: a diagnostic test

Diagnostic value of endoscopic ultrasonography in pelvic masses with bowel involvement

Extremely Late Recurrence of Ovarian Carcinoma Diagnosed by an Endoscopic Ultrasound-guided Fine-needle Biopsy

Contact Info

Product

Resources

About