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 Table of Contents  
COMMENTARY
Year : 2016  |  Volume : 8  |  Issue : 1  |  Page : 12

The role of endoscopic ultrasound-guided fine-needle aspiration of pancreatic lesions


Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan

Date of Web Publication29-Jan-2016

Correspondence Address:
Shigetaka Yoshinaga
Endoscopy Division, National Cancer Center Hospital, Tokyo
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.175186

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How to cite this article:
Yoshinaga S. The role of endoscopic ultrasound-guided fine-needle aspiration of pancreatic lesions. North Am J Med Sci 2016;8:12

How to cite this URL:
Yoshinaga S. The role of endoscopic ultrasound-guided fine-needle aspiration of pancreatic lesions. North Am J Med Sci [serial online] 2016 [cited 2019 Nov 18];8:12. Available from: http://www.najms.org/text.asp?2016/8/1/12/175186

Since Vilmann et al. [1] reported their results with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), EUS-FNA has been spread as a good diagnostic tool for gastrointestinal and perigastrointestinal lesions such as gastrointestinal submucosal tumors, pancreatic lesions, abdominal and mediastinal lymphadenopathies, ascites, and adrenal lesions. [2] EUS-FNA of pancreatic lesions is especially important because of its high diagnostic yield. [3] However, to achieve good specimens, we should consider many issues such as the selection of needle size, necessity of stylet and suction, number of strokes and passes, presence of the on-site cytopathologist, and so on. Additionally, when we puncture pancreatic cystic lesions, we should consider not only pathological evaluation but also fluid analysis. [4] Some of these issues are still controversial although there are many articles about them. Recently, EUS-guided, through-the-needle confocal laser-induced endomicroscopy and cystoscopy for pancreatic cystic neoplasms have been reported. [5] In this way, EUS-FNA will be developed and its use will spread all the more. Jani et al. [6] reviewed the present status of EUS-FNA of pancreatic lesions systematically. This review is one of good guides to EUS-FNA, and we can get a lot of information from their article.

 
  References Top

1.
Vilmann P, Jacobsen GK, Henriksen FW, Hancke S. Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease. Gastrointest Endosc 1992;38:172-3.  Back to cited text no. 1
    
2.
Yamao K, Sawaki A, Mizuno N, Shimizu Y, Yatabe Y, Koshikawa T. Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB): Past, present, and future. J Gastroenterol 2005;40:1013-23.  Back to cited text no. 2
    
3.
Yoshinaga S, Suzuki H, Oda I, Saito Y. Role of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for diagnosis of solid pancreatic masses. Dig Endosc 2011;23(Suppl 1):29-33.  Back to cited text no. 3
    
4.
Brugge WR, Lewandrowski K, Lee-Lewandrowski E, Centeno BA, Szydlo T, Regan S, et al. Diagnosis of pancreatic cystic neoplasms: A report of the cooperative pancreatic cyst study. Gastroenterology 2004;126:1330-6.  Back to cited text no. 4
    
5.
Nakai Y, Iwashita T, Park do H, Samarasena JB, Lee JG, Chang KJ. Diagnosis of pancreatic cysts: EUS-guided, through-the-needle confocal laser-induced endomicroscopy and cystoscopy trial: DETECT study. Gastrointest Endosc 2015;81:1204-14.  Back to cited text no. 5
    
6.
Jani BS, Rzouq F, Saligram S, Lim D, Rastogi A, Bonino J, et al. Endoscopic Ultrasound-Guided Fine-Needle Aspiration of Pancreatic Lesions: A Systematic Review of Technical and Procedural Variables. North Am J Med Sci 2016;8:1-11.  Back to cited text no. 6
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