Affiliation:
1. Department of Gastroenterology Nizam's Institute of Medical Sciences Hyderabad India
2. Department of Pathology Nizam's Institute of Medical Sciences Hyderabad India
Abstract
AbstractBackgroundEndoscopic ultrasound (EUS)‐guided tissue acquisition is the preferred modality for diagnosing pancreatic lesions and mediastinal and abdominal lymph nodes. Rapid on‐site cytologic evaluation improves the diagnostic outcome of EUS‐guided fine‐needle aspiration (FNA) but is unavailable at many centers. Alternatively, macroscopic on‐site evaluation (MOSE) may improve the diagnostic outcome of EUS‐FNA, but data are limited. Hence, the present study was conducted to assess the efficacy of MOSE in improving adequacy and accuracy.MethodsWe retrospectively analyzed data of consecutive patients with pancreatic or lymph nodal lesions undergoing EUS‐guided FNA at a tertiary care center from December 2020 to December 2022. The study's primary outcomes were adequacy and diagnostic accuracy of the EUS‐guided tissue acquisition, with secondary analysis of predictors of adequacy and accuracy.ResultsData from 124 patients (44.4% male, median age: 54 years) who underwent EUS‐FNA were included in the present analysis. The presence of macroscopic visible core (MVC) on MOSE was reported in 93/124 (75%) cases. An adequate sample for histopathological or cytological examination was obtained in 110/124 (88.7%) cases, while the diagnostic accuracy was 85.5%. On multivariate analysis, the absence of MVC on MOSE was found to be the independent negative predictor of both adequacy (OR 0.092, 95% CI: 0.024–0.349) and accuracy (OR 0.175, 95% CI: 0.057–0.536).ConclusionThe presence of MVC on MOSE can be an indicator of specimen adequacy and can improve the diagnostic yield of EUS‐FNA.
Subject
General Medicine,Histology,Pathology and Forensic Medicine
Cited by
1 articles.
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