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Gastrointestinal Radiology

, Volume 9, Issue 1, pp 231–234 | Cite as

Fine-needle biopsy of the pancreas using real-time ultrasonography

  • Antonio Martínez
  • Martín Velasco
  • José Cáceres
Article

Abstract

Percutaneous fine-needle biopsy of the pancreas by real-time ultrasonography was performed in 45 patients with suspected pancreatic carcinoma. True-positive diagnoses were obtained in 27 cases, 11 examinations yielded true-negative results, 3 results were false-negative, 2 were equivocal, and 2 samples were inadequate.

The overall success rate was 84.4%. No false-positive cytologic diagnoses were made. Complications were not seen in any of the patients.

The results confirm the effectiveness, safety, and relatively low cost of this procedure.

Key words

Fine-needle biopsy Pancreas, ultrasound (real-time) 

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References

  1. 1.
    Craver LF, Binkley JS: Aspiration biopsy of tumors of the lung.J Thorac Cardiovasc Surg 8:436–463, 1938Google Scholar
  2. 2.
    Nordenstrom B: A new technique for transthoracic biopsy of lung changes.Br J Radiol 38:550–553, 1965Google Scholar
  3. 3.
    Deschenes L, Fabia J, Meisels A, Toth BV et al: Fine needle aspiration biopsy in the management of palpable breast lesions.Can J Surg 21:417–419, 1978PubMedGoogle Scholar
  4. 4.
    Devitt JE, Curry RH: Role of aspiration breast biopsy.Can J Surg 20:450–451, 1977PubMedGoogle Scholar
  5. 5.
    De Waerd JH: Percutaneous aspiration of selected expanding renal lesions.J Urol 87:303–308, 1962PubMedGoogle Scholar
  6. 6.
    Kline TS, Neal HS: Needle aspiration biopsy: a critical appraisal.JAMA 239:36–39, 1978PubMedGoogle Scholar
  7. 7.
    Goldstein HM, Zornoza J, Wallace S et al: Percutaneous fine needle aspiration biopsy of pancreatic and other abdominal masses.Radiology 123:319–322, 1977PubMedGoogle Scholar
  8. 8.
    Ferruci JT, Wittenberg J: CT biopsy of abdominal tumors: aids for lesion localization.Radiology 129:739–744, 1978PubMedGoogle Scholar
  9. 9.
    Sundaram M, Wolverson MK, Heiberg E et al: Utility of CT-guided abdominal aspiration procedures.AJR 139:1111–1115, 1982PubMedGoogle Scholar
  10. 10.
    Zornoza J, Wallace S, Ordoñez N, Lukeman J: Fine-needle aspiration biopsy of the liver.AJR 134:331–334, 1980PubMedGoogle Scholar
  11. 11.
    Ferrucci JT, Wittenberg J, Mueller PR et al: Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy.AJR 134:323–330, 1980PubMedGoogle Scholar
  12. 12.
    Harter LP, Moss AA, Goldberg HI, Gross BH: CT-guided fine-needle aspirations for diagnosis of benign and malignant disease.AJR 140:363–367, 1983PubMedGoogle Scholar
  13. 13.
    Zornoza J, Wallace S, Goldstein HM, Lukeman JM, Jing BS: Transperitoneal percutaneous retroperitoneal lymph node aspiration biopsy.Radiology 122:111–115, 1977PubMedGoogle Scholar
  14. 14.
    Holm HH, Pederson JF, Kristensen JK, Rasmussen SN, Hanke S, Jensen E: Ultrasonically guided percutaneous biopsy.Radiol Clin North Am 13:493–503, 1975PubMedGoogle Scholar
  15. 15.
    Otto R, Daynle P, Pedio L: Sonographisch gesteuerte perkutane Feinnadelespirationspunktion von Pankreastumoren unter permanenter Sicht.Dtsch Med Wochenschr 105:853–857, 1980PubMedGoogle Scholar
  16. 16.
    Otto R, Deyhle P: Guided puncture under real-time sonographic control.Radiology 134:784–785, 1980PubMedGoogle Scholar
  17. 17.
    Goldberg BB, Cole-Beuglet C, Kurtz AB, Rubin CS: Real-time aspiration-biopsy transducer.J Clin Ultrasound 8:107, 1980PubMedGoogle Scholar
  18. 18.
    Pedersen J: Percutaneous puncture guided by ultrasonic multitransducer scanning.J Clin Ultrasound 5:175, 1977PubMedGoogle Scholar
  19. 19.
    Saitoh M, Watanabe H, Ohe H et al: Ultrasonic real-time guidance for percutaneous puncture.J Clin Ultrasound 7:269, 1979PubMedGoogle Scholar
  20. 20.
    Holm HH, Kristensen JK, Pedersen JF et al: A new mechanical real-time ultrasonic contact scanner.Ultrasound Med Biol 2:19, 1975PubMedGoogle Scholar
  21. 21.
    Hancke HH, Koch F: Ultrasonically guided fine needle of the pancreas.Surg Gynecol Obstet 140:361, 1975PubMedGoogle Scholar
  22. 22.
    Freenly PC, Ball TJ: Rapid diagnosis of pancreatic carcinoma.Radiology 127:627–633, 1978PubMedGoogle Scholar
  23. 23.
    Goldman ML, Naib ZM, Galambos JT et al: Preoperative diagnosis of pancreatic carcinoma by percutaneous aspiration biopsy.Am J Dig Dis 22:1076–1082, 1977PubMedGoogle Scholar
  24. 24.
    Yamanaka T, Kimura K: Differential diagnosis of pancreatic mass lesion with percutaneous fine needle aspiration biopsy under ultrasonic guidance.Dig Dis Sci 24:9:694–699, 1979PubMedGoogle Scholar
  25. 25.
    Holm HH, Als O, Gammelgaard J: Percutaneous aspiration biopsy procedures under ultrasonic visualization. In Taylor KJW (ed):Clinics in Diagnostic Ultrasound, vol 1,Diagnostic Ultrasound in Gastrointestinal Disease. New York: Churchill-Livingstone, 1978, pp 137–149Google Scholar
  26. 26.
    Lundquist A: Fine needle aspiration biopsy of the liver.Acta Med Scand 520:1–28, 1971Google Scholar
  27. 27.
    Evans WK, Chia-Sing HO, McLouglin MJ, Liang-Che T: Fatal necrotizing pancreatitis following fine-needle aspiration biopsy of the pancreas.Radiology 141:61–62, 1981PubMedGoogle Scholar
  28. 28.
    Liberman RP, Crummy AB, Matallana RH: Invasive procedures in pancreatic disease.Semin Ultrasound 13:192–206, 1980Google Scholar
  29. 29.
    Engzell U, Esposti PL, Rubio C et al: Investigation of tumors spread in connection with aspiration biopsy.Acta Radiol Oncol 10:385–388, 1971Google Scholar
  30. 30.
    Ferrucci JT Jr, Wittenberg J, Margolies MN, Carey RW: Malignant seeding of the tract after thin-needle aspiration biopsy.Radiology 130:345–346, 1979PubMedGoogle Scholar
  31. 31.
    Clark BG, Leadbetter WF, Campbell JS: Implantation of cancer of the prostate in site of perineal needle biopsy: report of a case.J Urol 70:937–939, 1953PubMedGoogle Scholar
  32. 32.
    Wolinsky H, Lischner MA: Needle tract implantation after percutaneous lung biopsy.Ann Intern Med 71:349–362, 1969PubMedGoogle Scholar
  33. 33.
    Sinner WN, Zajicek J: Implantation metastasis after percutaneous transthoracic needle aspiration biopsy.Acta Radiol [Diagn] (Stockh) 17:473–480, 1976Google Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • Antonio Martínez
    • 1
  • Martín Velasco
    • 1
  • José Cáceres
    • 1
  1. 1.Department of Diagnostic Radiology, Hospital de St. PauUniversidad AutónomaBarcelonaSpain

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