Tissue acquisition and pancreatic masses: Which needle and which acquisition technique should be used?

Author:

Mangiavillano Benedetto12,Sosa-Valencia Leonardo3,Deprez Pierre4,Eisendrath Pierre5,Robles-Medranda Carlos6,Eusebi Leonardo H.7,Di Leo Milena8,Auriemma Francesco1,Bianchetti Mario1,Anderloni Andrea8,Carrara Silvia8,Repici Alessandro28

Affiliation:

1. Gastrointestinal Endoscopy Unit – Humanitas Mater Domini – Castellanza (VA), Italy

2. Humamitas University

3. Ihu Strasbourg - Institute of Guided Image Surgery, Strasbourg, France

4. Department of Hepato-Gastroenterology, Cliniques universitaires Saint-Luc,

5. Endoscopy Unit Hopital Erasme, Brussels, Belgium

6. Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador

7. Endoscopy Unit, Department of Medical and Surgical Sciences, Sant’Orsola University Hospital, Bologna, Italy

8. Digestive Endoscopy Unit, Humanitas Clinical and Research Center, Rozzano (MI), Italy.

Abstract

Abstract Background and study aims Pancreatic cancer represents the fourth most common cause of cancer-related deaths in Western countries and the need of a low-risk investigation to obtain an accurate histopathological diagnosis has become increasingly pressing. Endoscopic ultrasonography (EUS) with fine-needle aspiration (FNA) is the standard method for obtaining samples from pancreatic masses. In recent years, there has been an increasing need to obtain histological specimens during EUS procedures, rather than cytological ones, to guide oncological treatment options, leading to the so-call “FNB concept.” Different needles have been developed for fine-needle biopsy (FNB) in recent years, enabling acquisition of larger specimens on which to perform histological and molecular analyses. The aim of this narrative review was to assess the role of EUS-guided FNA and FNB in patients with pancreatic masses, and to identify which needle and which acquisition technique should be used to improve tissue acquisition.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Medicine (miscellaneous)

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