Endoscopic ultrasound-guided fine-needle aspiration for gastrointestinal subepithelial lesions
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the first-choice procedure for obtaining pathological tissue samples from gastrointestinal (GI) subepithelial lesions (SELs). However, its diagnostic accuracy is lower than that for pancreatic masses owing to puncture difficulty and th...
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| Veröffentlicht in: | Journal of medical ultrasonics (2001) 2024-04, Vol.51 (2), p.195-207 |
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| creator | Hikichi, Takuto Hashimoto, Minami Yanagita, Takumi Kato, Tsunetaka Nakamura, Jun |
| description | Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the first-choice procedure for obtaining pathological tissue samples from gastrointestinal (GI) subepithelial lesions (SELs). However, its diagnostic accuracy is lower than that for pancreatic masses owing to puncture difficulty and the need for immunostaining for definitive diagnosis. The advent of fine-needle biopsy needles, which have become well known in recent years, improves the diagnostic accuracy of EUS-FNA for GI SELs. The forward-viewing echoendoscope and rapid on-site evaluation (ROSE) have also helped to improve diagnostic accuracy. Furthermore, in facilities where ROSE is not available, endosonographers perform a macroscopic on-site evaluation. With these procedural innovations, EUS-FNA is now performed aggressively even for SELs smaller than 20 mm. The incidence of procedure-related adverse events such as bleeding and infection is low, and thus, EUS-FNA can be safely performed to diagnose SELs. |
| doi_str_mv | 10.1007/s10396-023-01342-7 |
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However, its diagnostic accuracy is lower than that for pancreatic masses owing to puncture difficulty and the need for immunostaining for definitive diagnosis. The advent of fine-needle biopsy needles, which have become well known in recent years, improves the diagnostic accuracy of EUS-FNA for GI SELs. The forward-viewing echoendoscope and rapid on-site evaluation (ROSE) have also helped to improve diagnostic accuracy. Furthermore, in facilities where ROSE is not available, endosonographers perform a macroscopic on-site evaluation. With these procedural innovations, EUS-FNA is now performed aggressively even for SELs smaller than 20 mm. 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However, its diagnostic accuracy is lower than that for pancreatic masses owing to puncture difficulty and the need for immunostaining for definitive diagnosis. The advent of fine-needle biopsy needles, which have become well known in recent years, improves the diagnostic accuracy of EUS-FNA for GI SELs. The forward-viewing echoendoscope and rapid on-site evaluation (ROSE) have also helped to improve diagnostic accuracy. Furthermore, in facilities where ROSE is not available, endosonographers perform a macroscopic on-site evaluation. With these procedural innovations, EUS-FNA is now performed aggressively even for SELs smaller than 20 mm. 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| subjects | Accuracy Biopsy Cysts Diagnostic systems Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods Endoscopy Esophagus Fibroids Gastric cancer Gastrointestinal cancer Gastrointestinal Diseases - diagnostic imaging Gastrointestinal Diseases - pathology Gastrointestinal Neoplasms - diagnostic imaging Gastrointestinal Neoplasms - pathology Gastrointestinal Tract - diagnostic imaging Gastrointestinal Tract - pathology Humans Imaging Lesions Lymphoma Medicine Medicine & Public Health Onsite Radiology Special Feature: Review Article Tumors Ultrasonic imaging Ultrasound |
| title | Endoscopic ultrasound-guided fine-needle aspiration for gastrointestinal subepithelial lesions |
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