Clin Endosc.  2013 Sep;46(5):540-542.

Role of Repeated Endoscopic Ultrasound-Guided Fine Needle Aspiration for Inconclusive Initial Cytology Result

• Kim EY

Abstract

For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.

Keyword

Endosonography; Endoscopic ultrasound-guided fine needle aspiration; Pancreatic neoplasms

MeSH Terms

Bile Ducts
Biopsy
Cholangiopancreatography, Endoscopic Retrograde
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Endosonography
Pancreatic Neoplasms

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