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Role of repeated endoscopic ultrasound-guided fine needle aspiration for inconclusive initial cytology result.

Research paper by Eun Young EY Kim

Indexed on: 22 Oct '13Published on: 22 Oct '13Published in: Clinical endoscopy



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.