Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience

Background/Aims Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool in diagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in the evaluation of liver masses and its impact on patient managemen...

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Main Authors: Ebru Akay, Deniz Atasoy, Engin Altınkaya, Ali Koç, Tamer Ertan, Hatice Karaman, Erkan Caglar
Format: Article
Language:English
Published: Hoon Jai Chun 2021-05-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://www.e-ce.org/upload/pdf/ce-2020-065.pdf
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spelling doaj-1f1185612e9f43d59be1395cd60501b72021-06-02T23:59:22ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432021-05-0154340441210.5946/ce.2020.0657440Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center ExperienceEbru Akay0Deniz Atasoy1Engin Altınkaya2Ali Koç3Tamer Ertan4Hatice Karaman5Erkan Caglar6 Department of Pathology, Kayseri Training and Research Hospital, Kayseri, Turkey Department of General Surgery, Medicana Çamlıca Hospital, Istanbul, Turkey Department of Gastroenterology, Cumhuriyet University, Faculty of Medicine, Sivas, Turkey Department of Radiology, Kayseri Training and Research Hospital, Kayseri, Turkey Department of General Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey Department of Pathology, Kayseri Training and Research Hospital, Kayseri, Turkey Department of Gastroenterology, Kayseri Training and Research Hospital, Kayseri, TurkeyBackground/Aims Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool in diagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in the evaluation of liver masses and its impact on patient management and procedure-related complications retrospectively. Methods Data of patients who underwent EUS-FNA biopsies due to liver masses between November 2017 and July 2018 were retrieved retrospectively. Biopsies were performed using 22-G needles. The demographics, EUS-FNA results, sensitivity and specificity of the procedure, negative predictive value, positive predictive value, and specimen sufficiency rates were assessed. Results A total of 25 patients (10 females) were included in the study. The mean age was 62.73±15.2 years. The mean size of the masses was 34.50±16.04 mm. The technical success rate was 88%. During the EUS-FNA procedure, each patient had only one pass with 94.45% of aspirate sufficiency rate and 86.3% of biopsy sufficiency rate. The diagnostic accuracy rate was 86.3%. There were no complications. Conclusions For the evaluation of liver masses, EUS-FNA using a 22-G needle with even one pass had high aspiration and biopsy success rates accompanied with high diagnostic accuracy rates.http://www.e-ce.org/upload/pdf/ce-2020-065.pdfclinical managementdiagnostic accuracyendoscopic ultrasoundfine needle aspirationliver mass
collection DOAJ
language English
format Article
sources DOAJ
author Ebru Akay
Deniz Atasoy
Engin Altınkaya
Ali Koç
Tamer Ertan
Hatice Karaman
Erkan Caglar
spellingShingle Ebru Akay
Deniz Atasoy
Engin Altınkaya
Ali Koç
Tamer Ertan
Hatice Karaman
Erkan Caglar
Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
Clinical Endoscopy
clinical management
diagnostic accuracy
endoscopic ultrasound
fine needle aspiration
liver mass
author_facet Ebru Akay
Deniz Atasoy
Engin Altınkaya
Ali Koç
Tamer Ertan
Hatice Karaman
Erkan Caglar
author_sort Ebru Akay
title Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
title_short Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
title_full Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
title_fullStr Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
title_full_unstemmed Endoscopic Ultrasound-Guided Fine Needle Aspiration Using a 22-G Needle for Hepatic Lesions: Single-Center Experience
title_sort endoscopic ultrasound-guided fine needle aspiration using a 22-g needle for hepatic lesions: single-center experience
publisher Hoon Jai Chun
series Clinical Endoscopy
issn 2234-2400
2234-2443
publishDate 2021-05-01
description Background/Aims Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has been accepted as a reliable tool in diagnosing and staging intra-abdominal tumors. In this study, we aimed to investigate the performance of EUS-FNA in the evaluation of liver masses and its impact on patient management and procedure-related complications retrospectively. Methods Data of patients who underwent EUS-FNA biopsies due to liver masses between November 2017 and July 2018 were retrieved retrospectively. Biopsies were performed using 22-G needles. The demographics, EUS-FNA results, sensitivity and specificity of the procedure, negative predictive value, positive predictive value, and specimen sufficiency rates were assessed. Results A total of 25 patients (10 females) were included in the study. The mean age was 62.73±15.2 years. The mean size of the masses was 34.50±16.04 mm. The technical success rate was 88%. During the EUS-FNA procedure, each patient had only one pass with 94.45% of aspirate sufficiency rate and 86.3% of biopsy sufficiency rate. The diagnostic accuracy rate was 86.3%. There were no complications. Conclusions For the evaluation of liver masses, EUS-FNA using a 22-G needle with even one pass had high aspiration and biopsy success rates accompanied with high diagnostic accuracy rates.
topic clinical management
diagnostic accuracy
endoscopic ultrasound
fine needle aspiration
liver mass
url http://www.e-ce.org/upload/pdf/ce-2020-065.pdf
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