Percutaneous Fine-Needle Aspiration Biopsy during Endoscopic Retrograde Cholangio-pancreatography

Ihre, T; Pyk, E.; Nielsen, T. Raaschou; Seligson, U

doi:10.3109/00365527809181778

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…In a few cases, therefore, ERP was combined with percutaneous fine-needle biopsy by the method of Ihre et al (14), but the specimens obtained could not be used for a histological classification of the severity of pancreatitis, and this was therefore omitted.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Diagnosis Pancreatitis

Seligson

Cho

Ihre

et al. 1982

Scandinavian Journal of Gastroenterology

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A widely used classification of pancreatitis is the one proposed in Marseilles in 1963, which distinguishes among acute, acute relapsing, chronic relapsing, and chronic pancreatitis. The diagnostic criteria in chronic pancreatitis are permanent damage of morphology and/or function of the pancreas after clinical symptoms of pancreatitis. In clinical practice, however, it can be difficult to find the suitable and comparable diagnosis in accordance with the Marseilles classification. In the present study the exocrine and endocrine function and the morphology of the pancreas have been thoroughly investigated in 54 patients who have been treated for various diagnoses of pancreatitis. The results show that the above diagnostic criteria often are difficult to interpret. We consider that the prevailing classification of pancreatitis needs to be revised in the light of progress in investigative techniques. A proposal for a modified classification is presented.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Diagnosis Pancreatitis

Seligson

Cho

Ihre

et al. 1982

Scandinavian Journal of Gastroenterology

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“…An ERCP examination can be combined with fine-needle puncture for cytology [23] or with cytology on material obtained at endoscopic duct aspiration or smear, which further enhances the accuracy of the method [24][25][26]. Apart from diagnostic use, the ERCP technique has been employed for temporary or permanent drainage in cases of cholestasis-external drainage achieved by a nasobiliary tube or internal drainage by an endoprosthesis, usually placed after prior sphincterotomy [27].…”

Section: Endoscopic Retrograde Cholangiopancreatographymentioning

confidence: 99%

“…As the specificity of cytological examination for pancreatic cancer is 100% [23,38,39], a positive cytological finding provides a sound basis for a decision on further treatment, whether it be palliative or attempted curative. Specimens for cytology may be obtained at fine-needle puncture intraoperatively (vide infra) or preoperatively, by aspiration or ductal smear at ERCP, or by duodenal juice aspiration.…”

Section: Cytologymentioning

confidence: 99%

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Preoperative and operative diagnosis of pancreatic cancer

Ihse

Isaksson

1984

World j. surg.

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The aim of the investigation in the case of pancreatic cancer is to establish the diagnosis and to evaluate resectability. Improved diagnostic methods have made it possible in most cases to diagnose accurately the symptomatic patient with pancreatic cancer. Ultrasonography, computed tomography, endoscopic retrograde cholangiopancreatography (ERCP), and cytology are methods that often complement each other in the diagnostic workup. Percutaneous transhepatic cholangiography (PTC) is useful in the jaundiced patient, but is not as safe for the patient as ERCP. For patients in whom resection is contemplated, angiography is also of interest, as signs of major vessel involvement contraindicate surgery. Pancreatic function tests, tumor markers, and scintigraphy do not contribute enough to be used as diagnostic aids, and laparoscopy is only rarely indicated. At operation the final assessment of resectability is determined by documentation of spread to lymph nodes or to other organs and the invasion of neighboring vessels.

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Fine‐needle aspiration cytology of neoplastic cysts of the pancreas

Jones

Suen

Grant

et al. 1987

Diagnostic Cytopathology

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Herein is reported the cytologic features of four cases of cystic neoplasms of the pancreas as seen in fine-needle aspirates. Cytologically, the cases fall into two distinct groups: mucinous cystic neoplasm and serous cystadenoma. The aspirates from the mucinous cystic neoplasms characteristically showed columnar mucus-secreting epithelial cells, some of which were arranged in a papilloglandular pattern, with abundant mucous material in the background. The aspirates from the serous cystadenoma yielded small sheets of cuboidal cells with small nuclei and clear cytoplasm, without a background of mucous material. This cytologic division corresponds closely to the histologic classification proposed by Compagno and Oertel and hence is of prognostic and therapeutic value. The diagnostic challenges confronted by the cytopathologist are (1) to differentiate neoplastic cysts from the inflammatory pseudocysts; (2) to differentiate neoplastic epithelium from the normal epithelium of the bowel and pancreatic ducts; and (3) to differentiate mucinous cystic neoplasms from serous cystadenomas.

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Percutaneous Fine-Needle Aspiration Biopsy during Endoscopic Retrograde Cholangio-pancreatography

Cited by 9 publications

References 6 publications

Evaluation of the Diagnosis Pancreatitis

Evaluation of the Diagnosis Pancreatitis

Preoperative and operative diagnosis of pancreatic cancer

Fine‐needle aspiration cytology of neoplastic cysts of the pancreas

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