Performance of EUS-FNB in solid pancreatic masses: a lesson from 463 consecutive procedures and a practical nomogram

Pagano, Nico; Ricci, Claudio; Ingaldi, Carlo; Sadalla, Sinan; Fabbri, Andrea; Alberici, Laura; Impellizeri, Giovanna; Pallio, Socrate; Zagari, Rocco Maurizio; Leo, Antonio De; Cescon, Matteo; Casadei, Riccardo

doi:10.1007/s13304-021-01198-x

Cited by 7 publications

(8 citation statements)

References 149 publications

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“…More recently, confocal laser endomicroscopy has also been tested as a rapid diagnostic tool for freshly harvested pancreatic samples [ 17 , 18 ]. In the last few years, EUS–FNB was introduced and proved to be successful in providing enough tissue for HP assessment [ 19 ]. Generally, EUS–FNA yields mainly aspiration fluid, which is directly ejected on smears and, if enough material is present, it is stored in a container and fixed in formalin for further processing as a paraffin-embedded cellular block.…”

Section: ⧉ Discussionmentioning

confidence: 99%

A morphological and immunohistochemical study of the endoscopic ultrasound–fine-needle biopsy samples from solid pancreatic masses: a single center study

Constantinescu

Ilie-Stan²,

Șandru³

et al. 2021

Rom J Morphol Embryol

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Section: ⧉ Discussionmentioning

confidence: 99%

A morphological and immunohistochemical study of the endoscopic ultrasound–fine-needle biopsy samples from solid pancreatic masses: a single center study

Constantinescu

Ilie-Stan²,

Șandru³

et al. 2021

Rom J Morphol Embryol

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“…In the pre-operative evaluation of resectability, an accurate study of tumor biology markers is required to correctly stage the disease [168][169][170][171][172].…”

Section: Resectability Statusmentioning

confidence: 99%

Pancreatic Ductal Adenocarcinoma: Update of CT-Based Radiomics Applications in the Pre-Surgical Prediction of the Risk of Post-Operative Fistula, Resectability Status and Prognosis

Pacella,

Brunese,

D’Imperio

et al. 2023

JCM

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Background: Pancreatic ductal adenocarcinoma (PDAC) is the seventh leading cause of cancer-related deaths worldwide. Surgical resection is the main driver to improving survival in resectable tumors, while neoadjuvant treatment based on chemotherapy (and radiotherapy) is the best option-treatment for a non-primally resectable disease. CT-based imaging has a central role in detecting, staging, and managing PDAC. As several authors have proposed radiomics for risk stratification in patients undergoing surgery for PADC, in this narrative review, we have explored the actual fields of interest of radiomics tools in PDAC built on pre-surgical imaging and clinical variables, to obtain more objective and reliable predictors. Methods: The PubMed database was searched for papers published in the English language no earlier than January 2018. Results: We found 301 studies, and 11 satisfied our research criteria. Of those included, four were on resectability status prediction, three on preoperative pancreatic fistula (POPF) prediction, and four on survival prediction. Most of the studies were retrospective. Conclusions: It is possible to conclude that many performing models have been developed to get predictive information in pre-surgical evaluation. However, all the studies were retrospective, lacking further external validation in prospective and multicentric cohorts. Furthermore, the radiomics models and the expression of results should be standardized and automatized to be applicable in clinical practice.

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“…Qua nghiên cứu 97 bệnh nhân làm EUS-FNB, chúng tôi ghi nhận 03 bệnh nhân bị đau bụng nhẹ sau thủ thuật, tuy nhiên tất cả đều tự giới hạn sau thời gian theo dõi tại khoa nội soi mà không cần can thiệp điều trị. Theo nghiên cứu của tác giả Pangano và cộng sự về EUS-FNB trên 463 tổn thương đặc ở tụy cho thấy không có biến chứng nào đáng kể, và kết luận đây là thủ thuật đáng tin cậy để chẩn đoán mô học khối u ở tụy [10]. Điều này chứng tỏ EUS-FNB là thủ thuật an toàn trong bệnh lý u tụy.…”

Section: Bàn Luậnunclassified

Application of endoscopic ultrasound guided needle biopsy in patients with pancreatic tumor

Trinh Pham My,

Ho Dang Quy,

Tran Dinh

et al. 2023

JMP

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Background: Pancreatic cancer is a rapidly progressive disease, low 5-year survival rate (less than 11%). However, if pancreatic tumors detected and treated early, the 5-year survival rate improves significantly. The diagnosis of pancreatic cancer, besides conventional imaging measures. It has been a challenge to obtain a histopathological gold standard for the diagnosis of pancreatic cancer. The advent of endoscopic ultrasound and endoscopic ultrasound guide fine-needle biopsy (EUS-FNB) has created a major turning point in the histopathological diagnosis of pancreatic tumors. In Vietnam, there have not been many announcements about the effectiveness and safety of this technique. Objectives: 1. To evaluate the effectiveness and safety of EUS-FNB procedure in patients with pancreatic tumor; 2. To investigate some related factors between EUS-FNB procedure and histopathological results. Subjects and methods: Descriptive cross-sectional study on patients who had a pancreatic tumor or suspected pancreatic tumor and underwent EUS-FNB at the endoscopy department of Cho Ray Hospital from January 1th, 2021 to October 15th 2021. Results: There were 97 pancreatic tumor patients who underwent EUS-FNB, without significant complications. 80.4% of patients had histopathological result to diagnose the tumor nature, 19.6% patients had no tumor cells in the specimen. FNB with 19G needle gave higher histopathological results than 22G needle (p < 0.01). There was a significant difference in histopathological results between the tissue sample length segments obtained < 4 mm, 4 - 7 mm and ≥ 8 mm. Conclusion: EUS-FNB is effective and ralatively safe procedure in patients with pancreatic tumor. There was a significant relationship between the needle size for FNB, the length of the tissue obtained with the histopathological results. Key words: Endoscopic Ultrasound, Pancreatic tumor, EUS-FNB

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Performance of EUS-FNB in solid pancreatic masses: a lesson from 463 consecutive procedures and a practical nomogram

Cited by 7 publications

References 149 publications

A morphological and immunohistochemical study of the endoscopic ultrasound–fine-needle biopsy samples from solid pancreatic masses: a single center study

A morphological and immunohistochemical study of the endoscopic ultrasound–fine-needle biopsy samples from solid pancreatic masses: a single center study

Pancreatic Ductal Adenocarcinoma: Update of CT-Based Radiomics Applications in the Pre-Surgical Prediction of the Risk of Post-Operative Fistula, Resectability Status and Prognosis

Application of endoscopic ultrasound guided needle biopsy in patients with pancreatic tumor

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