North American Journal of Medical Sciences

COMMENTARY
Year
: 2016  |  Volume : 8  |  Issue : 1  |  Page : 12-

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


Shigetaka Yoshinaga 
 Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan

Correspondence Address:
Shigetaka Yoshinaga
Endoscopy Division, National Cancer Center Hospital, Tokyo
Japan




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;8:12-12


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 2021 Oct 16 ];8:12-12
Available from: https://www.najms.org/text.asp?2016/8/1/12/175186


Full Text

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

1Vilmann P, Jacobsen GK, Henriksen FW, Hancke S. Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease. Gastrointest Endosc 1992;38:172-3.
2Yamao 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.
3Yoshinaga 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.
4Brugge 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.
5Nakai 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.
6Jani 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.