Skip to main content

EUS-FNA of Lesions of the Pancreas, Biliary Tract, and Liver

  • Chapter
Practical Handbook of Endoscopic Ultrasonography

Abstract

Preoperative tissue diagnosis of mass lesions in the biliary pancreatic region has always been a challenging task. EUS guided fine needle aspiration (FNA) provides an impressive solution to this preoperative dilemma. EUS permits real-time imaging from close quarters which allows precise control and accurate needle placement and permits accurate biopsy to be performed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. LeBlanc JK, Ciaccia D, Al-Assi MT et al (2004) Optimal number of EUS-guided fine needle passes needed to obtain a correct diagnosis. Gastrointest Endosc 59(4):475–481. doi:S0016510703028633 [pii]

    PubMed  Google Scholar 

  2. Cleveland P, Gill KR, Coe SG et al (2010) An evaluation of risk factors for inadequate cytology in EUS-guided FNA of pancreatic tumors and lymph nodes. Gastrointest Endosc 71(7):1194–1199. doi:S0016-5107(10)00043-X [pii] 10.1016/j.gie.2010.01.029

    PubMed  Google Scholar 

  3. Alsohaibani F, Girgis S, Sandha GS (2009) Does onsite cytotechnology evaluation improve the accuracy of endoscopic ultrasound-guided fine-needle aspiration biopsy? Can J Gastroenterol 23(1):26–30

    PubMed Central  PubMed  Google Scholar 

  4. Eloubeidi MA, Tamhane A, Jhala N et al (2006) Agreement between rapid onsite and final cytologic interpretations of EUS-guided FNA specimens: implications for the endosonographer and patient management. Am J Gastroenterol 101(12):2841–2847. doi:AJG852 [pii] 10.1111/j.1572-0241.2006.00852.x

    PubMed  Google Scholar 

  5. Klapman JB, Logrono R, Dye CE et al (2003) Clinical impact of on-site cytopathology interpretation on endoscopic ultrasound-guided fine needle aspiration. Am J Gastroenterol 98(6):1289–1294. doi:S0002927003002466 [pii] 10.1111/j.1572-0241.2003.07472.x

    PubMed  Google Scholar 

  6. Bapaye A, Aher A, Bhide V et al (2010) A single center experience of EUS guided fine needle aspiration cytology (FNAC) in pancreatic mass lesions. J Gastroenterol Hepatol 25(Suppl 2): A151

    Google Scholar 

  7. Varadarajulu S, Eloubeidi MA (2005) Endoscopic ultrasound-guided fine-needle aspiration in the evaluation of gallbladder masses. Endoscopy 37(8):751–754. doi:10.1055/s-2005-870161

    CAS  PubMed  Google Scholar 

  8. Varadarajulu S, Wallace MB (2004) Applications of endoscopic ultrasonography in pancreatic cancer. Cancer Control 11(1):15–22

    PubMed  Google Scholar 

  9. Brugge WR (1995) Pancreatic cancer staging. Endoscopic ultrasonography criteria for vascular invasion. Gastrointest Endosc Clin N Am 5(4):741–753

    CAS  PubMed  Google Scholar 

  10. Anderson MA, Carpenter S, Thompson NW et al (2000) Endoscopic ultrasound is highly accurate and directs management in patients with neuroendocrine tumors of the pancreas. Am J Gastroenterol 95(9):2271–2277. doi:S0002-9270(00)01272-7 [pii] 10.1111/j.1572-0241.2000.02480.x

    CAS  PubMed  Google Scholar 

  11. Akahoshi K, Chijiiwa Y, Nakano I et al (1998) Diagnosis and staging of pancreatic cancer by endoscopic ultrasound. Br J Radiol 71(845):492–496

    CAS  PubMed  Google Scholar 

  12. Yoshinaga S, Suzuki H, Oda I et al (2011) Role of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for diagnosis of solid pancreatic masses. Dig Endosc 23(Suppl 1):29–33. doi:10.1111/j.1443-1661.2011.01112.x

    PubMed  Google Scholar 

  13. Rickes S, Malfertheiner P (2004) Echo-enhanced sonography — an increasingly used procedure for the differentiation of pancreatic tumors. Dig Dis 22(1):32–38. doi:10.1159/000078733 DDI2004022001032 [pii]

    PubMed  Google Scholar 

  14. Balthazar EJCA (1990) Computed tomography of pancreatic masses. Am J Gastroenterol 85:343–349

    CAS  PubMed  Google Scholar 

  15. Lennon AM, Penman ID (2006) EUS in evaluation of pancreatic cysts. In: Hawes RH, Fockens P (eds) Endosonography, 1st edn. Saunders/Elsevier, Philadelphia, pp 205–216

    Google Scholar 

  16. Varadarajulu S, Eloubeidi MA (2004) Frequency and significance of acute intracystic hemorrhage during EUS-FNA of cystic lesions of the pancreas. Gastrointest Endosc 60(4):631–635. doi:S0016510704018917 [pii]

    PubMed  Google Scholar 

  17. Moparty B, Brugge WR (2007) Approach to pancreatic cystic lesions. Curr Gastroenterol Rep 9(2):130-135

    PubMed  Google Scholar 

  18. Brugge WR (2006) Cystic pancreatic lesions: can we diagnose them accurately what to look for? FNA marker molecular analysis resection, surveillance, or endoscopic treatment? Endoscopy 38(Suppl 1): S40–S47. doi:10.1055/s-2006-946650

    PubMed  Google Scholar 

  19. Brugge WR (2005) Should all pancreatic cystic lesions be resected? Cyst-fluid analysis in the differential diagnosis of pancreatic cystic lesions: a meta-analysis. Gastrointest Endosc 62(3):390–391. doi:S0016-5107(05)01899-7 [pii] 10.1016/j.gie.2005.04.036

    PubMed  Google Scholar 

  20. Sahani DV, Kadavigere R, Saokar A et al (2005) Cystic pancreatic lesions: a simple imaging-based classification system for guiding management. Radiographics 25(6):1471–1484. doi:25/6/1471 [pii] 10.1148/rg.256045161

    PubMed  Google Scholar 

  21. Brugge WR (2004) Evaluation of pancreatic cystic lesions with EUS. Gastrointest Endosc 59(6):698–707. doi:S0016510704001750 [pii]

    PubMed  Google Scholar 

  22. Brugge WR, Lewandrowski K, Lee-Lewandrowski E et al (2004) Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study. Gastroenterology 126(5):1330–1336. doi:S0016508504001933 [pii]

    PubMed  Google Scholar 

  23. Hernandez LV, Mishra G, Forsmark C et al (2002) Role of endoscopic ultrasound (EUS) and EUS-guided fine needle aspiration in the diagnosis and treatment of cystic lesions of the pancreas. Pancreas 25(3):222–228. doi:00006676-200210000-00002 [pii]

    PubMed  Google Scholar 

  24. Frossard JL, Amouyal P, Amouyal G et al (2003) Performance of endosonography-guided fine needle aspiration and biopsy in the diagnosis of pancreatic cystic lesions. Am J Gastroenterol 98(7):1516–1524. doi:S0002927003003599 [pii] 10.1111/j.1572-0241.2003.07530.x

    PubMed  Google Scholar 

  25. Brandwein SL, Farrell JJ, Centeno BA et al (2001) Detection and tumor staging of malignancy in cystic, intraductal, and solid tumors of the pancreas by EUS. Gastrointest Endosc 53(7):722–727. doi:S0016-5107(01)80988-3 [pii] 10.1067/mge.2001.114783

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amol Bapaye M.D. (M.S.) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer

About this chapter

Cite this chapter

Bapaye, A., Aher, A. (2012). EUS-FNA of Lesions of the Pancreas, Biliary Tract, and Liver. In: Akahoshi, K., Bapaye, A. (eds) Practical Handbook of Endoscopic Ultrasonography. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54014-4_16

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54014-4_16

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54013-7

  • Online ISBN: 978-4-431-54014-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics