Comparison of Histologic Core Portions Acquired from a Core Biopsy Needle and a Conventional Needle in Solid Mass Lesions: A Prospective Randomized Trial
Background/Aims: The superiority of endoscopic ultrasound- guided fine needle biopsy (EUS-FNB) over EUS-guided fine needle aspiration (EUS-FNA) remains controversial. Given the lack of studies analyzing histologic specimens acquired from EUS-FNB or EUS-FNA, we compared the proportion of the histolog...
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| Veröffentlicht in: | Gut and liver 2017-07, Vol.11 (4), p.559 |
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| creator | Ban Seok Lee Chang-min Cho Min Kyu Jung Jung Sik Jang Han Ik Bae |
| description | Background/Aims: The superiority of endoscopic ultrasound- guided fine needle biopsy (EUS-FNB) over EUS-guided fine needle aspiration (EUS-FNA) remains controversial. Given the lack of studies analyzing histologic specimens acquired from EUS-FNB or EUS-FNA, we compared the proportion of the histologic core obtained from both techniques. Methods: A total of 58 consecutive patients with solid mass lesions were enrolled and randomly assigned to the EUSFNA or EUS-FNB groups. The opposite needle was used after the failure of core tissue acquisition using the initial needle with up to three passes. Using computerized analyses of the scanned histologic slide, the overall area and the area of the histologic core portion in specimens obtained by the two techniques were compared. Results: No significant differences were identified between the two groups with respect to demographic and clinical characteristics. Fewer needle passes were required to obtain core specimens in the FNB group (p |
| format | Article |
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Given the lack of studies analyzing histologic specimens acquired from EUS-FNB or EUS-FNA, we compared the proportion of the histologic core obtained from both techniques. Methods: A total of 58 consecutive patients with solid mass lesions were enrolled and randomly assigned to the EUSFNA or EUS-FNB groups. The opposite needle was used after the failure of core tissue acquisition using the initial needle with up to three passes. Using computerized analyses of the scanned histologic slide, the overall area and the area of the histologic core portion in specimens obtained by the two techniques were compared. Results: No significant differences were identified between the two groups with respect to demographic and clinical characteristics. Fewer needle passes were required to obtain core specimens in the FNB group (p<0.001). There were no differences in the proportion of histologic core (11.8%±19.5% vs 8.0%±11.1%, p=0.376) or in the diagnostic accuracy (80.6% vs 81.5%, p=0.935) between two groups. Conclusions: The proportion of histologic core and the diagnostic accuracy were comparable between the FNB and FNA groups. However, fewer needle passes were required to establish an accurate diagnosis in EUS-FNB. (Gut Liver 2017;11:559-566)</description><identifier>ISSN: 1976-2283</identifier><language>kor</language><publisher>대한소화기기능성질환·운동학회</publisher><subject>Core tissue ; Endoscopic ; Endoscopic ultrasound-guided fine needle aspiration ; Endosonography ; Tissue sampling ; ultrasound-guided fine needle biopsy</subject><ispartof>Gut and liver, 2017-07, Vol.11 (4), p.559</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Ban Seok Lee</creatorcontrib><creatorcontrib>Chang-min Cho</creatorcontrib><creatorcontrib>Min Kyu Jung</creatorcontrib><creatorcontrib>Jung Sik Jang</creatorcontrib><creatorcontrib>Han Ik Bae</creatorcontrib><title>Comparison of Histologic Core Portions Acquired from a Core Biopsy Needle and a Conventional Needle in Solid Mass Lesions: A Prospective Randomized Trial</title><title>Gut and liver</title><addtitle>Gut and Liver</addtitle><description>Background/Aims: The superiority of endoscopic ultrasound- guided fine needle biopsy (EUS-FNB) over EUS-guided fine needle aspiration (EUS-FNA) remains controversial. Given the lack of studies analyzing histologic specimens acquired from EUS-FNB or EUS-FNA, we compared the proportion of the histologic core obtained from both techniques. Methods: A total of 58 consecutive patients with solid mass lesions were enrolled and randomly assigned to the EUSFNA or EUS-FNB groups. The opposite needle was used after the failure of core tissue acquisition using the initial needle with up to three passes. Using computerized analyses of the scanned histologic slide, the overall area and the area of the histologic core portion in specimens obtained by the two techniques were compared. Results: No significant differences were identified between the two groups with respect to demographic and clinical characteristics. Fewer needle passes were required to obtain core specimens in the FNB group (p<0.001). There were no differences in the proportion of histologic core (11.8%±19.5% vs 8.0%±11.1%, p=0.376) or in the diagnostic accuracy (80.6% vs 81.5%, p=0.935) between two groups. Conclusions: The proportion of histologic core and the diagnostic accuracy were comparable between the FNB and FNA groups. However, fewer needle passes were required to establish an accurate diagnosis in EUS-FNB. (Gut Liver 2017;11:559-566)</description><subject>Core tissue</subject><subject>Endoscopic</subject><subject>Endoscopic ultrasound-guided fine needle aspiration</subject><subject>Endosonography</subject><subject>Tissue sampling</subject><subject>ultrasound-guided fine needle biopsy</subject><issn>1976-2283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9zT1uwkAQBeAtiBQgOQHNXADJePnvwCKigAgRerSyx2hgvWNmHCRyE24LhNCmesWn917N1DujQb8dx0P7ahqq-yjqd-JBr24uCRelE1IOwDnMSSv2vKMUEhaEFUtFHBQm6fGbBDPIhQtwD50Sl3qGT8TMI7iQ_UI4YbiXnH8KBfhiTxksnSosUO-TY5jASlhLTCs6IaxvfS7o5_axEXL-zbzkziu-_2XTtD5mm2TePpDqthQqnJy3tme7ke3a__UKVvJSjg</recordid><startdate>20170730</startdate><enddate>20170730</enddate><creator>Ban Seok Lee</creator><creator>Chang-min Cho</creator><creator>Min Kyu Jung</creator><creator>Jung Sik Jang</creator><creator>Han Ik Bae</creator><general>대한소화기기능성질환·운동학회</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>20170730</creationdate><title>Comparison of Histologic Core Portions Acquired from a Core Biopsy Needle and a Conventional Needle in Solid Mass Lesions: A Prospective Randomized Trial</title><author>Ban Seok Lee ; Chang-min Cho ; Min Kyu Jung ; Jung Sik Jang ; Han Ik Bae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kiss_primary_35340343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2017</creationdate><topic>Core tissue</topic><topic>Endoscopic</topic><topic>Endoscopic ultrasound-guided fine needle aspiration</topic><topic>Endosonography</topic><topic>Tissue sampling</topic><topic>ultrasound-guided fine needle biopsy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ban Seok Lee</creatorcontrib><creatorcontrib>Chang-min Cho</creatorcontrib><creatorcontrib>Min Kyu Jung</creatorcontrib><creatorcontrib>Jung Sik Jang</creatorcontrib><creatorcontrib>Han Ik Bae</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>Gut and liver</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ban Seok Lee</au><au>Chang-min Cho</au><au>Min Kyu Jung</au><au>Jung Sik Jang</au><au>Han Ik Bae</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Histologic Core Portions Acquired from a Core Biopsy Needle and a Conventional Needle in Solid Mass Lesions: A Prospective Randomized Trial</atitle><jtitle>Gut and liver</jtitle><addtitle>Gut and Liver</addtitle><date>2017-07-30</date><risdate>2017</risdate><volume>11</volume><issue>4</issue><spage>559</spage><pages>559-</pages><issn>1976-2283</issn><abstract>Background/Aims: The superiority of endoscopic ultrasound- guided fine needle biopsy (EUS-FNB) over EUS-guided fine needle aspiration (EUS-FNA) remains controversial. Given the lack of studies analyzing histologic specimens acquired from EUS-FNB or EUS-FNA, we compared the proportion of the histologic core obtained from both techniques. Methods: A total of 58 consecutive patients with solid mass lesions were enrolled and randomly assigned to the EUSFNA or EUS-FNB groups. The opposite needle was used after the failure of core tissue acquisition using the initial needle with up to three passes. Using computerized analyses of the scanned histologic slide, the overall area and the area of the histologic core portion in specimens obtained by the two techniques were compared. Results: No significant differences were identified between the two groups with respect to demographic and clinical characteristics. Fewer needle passes were required to obtain core specimens in the FNB group (p<0.001). There were no differences in the proportion of histologic core (11.8%±19.5% vs 8.0%±11.1%, p=0.376) or in the diagnostic accuracy (80.6% vs 81.5%, p=0.935) between two groups. Conclusions: The proportion of histologic core and the diagnostic accuracy were comparable between the FNB and FNA groups. However, fewer needle passes were required to establish an accurate diagnosis in EUS-FNB. (Gut Liver 2017;11:559-566)</abstract><pub>대한소화기기능성질환·운동학회</pub><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 1976-2283 |
| ispartof | Gut and liver, 2017-07, Vol.11 (4), p.559 |
| issn | 1976-2283 |
| language | kor |
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| source | KoreaMed Open Access; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Core tissue Endoscopic Endoscopic ultrasound-guided fine needle aspiration Endosonography Tissue sampling ultrasound-guided fine needle biopsy |
| title | Comparison of Histologic Core Portions Acquired from a Core Biopsy Needle and a Conventional Needle in Solid Mass Lesions: A Prospective Randomized Trial |
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