Shyam Sunder Sharma1, Mukesh Jain2, Sudhir Maharshi3. 1. Department of Gastroenterology, Sawai Man Singh Medical College, J L N Marg, Jaipur, 302 004, India. shyamsharma4@rediffmail.com. 2. Department of Gastroenterology, Sawai Man Singh Medical College, J L N Marg, Jaipur, 302 004, India. 3. Department of Gastroenterology and Hepatology, Rukmani Birla Hospital and Research Institute, Gopalpura Bypass Road, Gopalpura, Jaipur, 302 018, India.
Abstract
BACKGROUND: Endoscopic ultrasound (EUS) is a well-established modality in diagnosing and staging of various neoplastic and non-neoplastic lesions. Its accuracy further increases in the presence of an on-site cytopathologist. There is a paucity of data on diagnostic yield of EUS-guided fine needle aspiration cytology (FNAC) without an on-site cytopathologist. METHODS: Retrospective data were analyzed at SMS Medical College, Jaipur, from January 2014 to October 2015. All patients who underwent EUS-guided FNAC in the Department of Gastroenterology were included. Data related to demography, lesion parameters on EUS, and histology were analyzed. RESULTS: Two hundred patients (age 46.2±18.6, 144 male) were studied. EUS-FNAC slides from 162 (82%) were considered adequate by cytopathologist for the diagnosis of benign or malignant lesions. Slide preparation adequacy was 100% for mediastinal and renal and suprarenal masses, 87.06% for pancreatic, 73.46% for lymph nodes, and 88.88% for other lesions. Mean number of passes was 1.92±0.82. CONCLUSIONS: Diagnostic yield of EUS-guided FNAC is high even in the absence of on-site cytopathologist.
BACKGROUND: Endoscopic ultrasound (EUS) is a well-established modality in diagnosing and staging of various neoplastic and non-neoplastic lesions. Its accuracy further increases in the presence of an on-site cytopathologist. There is a paucity of data on diagnostic yield of EUS-guided fine needle aspiration cytology (FNAC) without an on-site cytopathologist. METHODS: Retrospective data were analyzed at SMS Medical College, Jaipur, from January 2014 to October 2015. All patients who underwent EUS-guided FNAC in the Department of Gastroenterology were included. Data related to demography, lesion parameters on EUS, and histology were analyzed. RESULTS: Two hundred patients (age 46.2±18.6, 144 male) were studied. EUS-FNAC slides from 162 (82%) were considered adequate by cytopathologist for the diagnosis of benign or malignant lesions. Slide preparation adequacy was 100% for mediastinal and renal and suprarenal masses, 87.06% for pancreatic, 73.46% for lymph nodes, and 88.88% for other lesions. Mean number of passes was 1.92±0.82. CONCLUSIONS: Diagnostic yield of EUS-guided FNAC is high even in the absence of on-site cytopathologist.
Authors: B Brand; T Pfaff; K F Binmoeller; P V Sriram; A Fritscher-Ravens; W T Knöfel; S Jäckle; N Soehendra Journal: Scand J Gastroenterol Date: 2000-11 Impact factor: 2.423
Authors: G A Boyce; M V Sivak; I C Lavery; V W Fazio; J M Church; J Milsom; R Petras Journal: Gastrointest Endosc Date: 1992 Jul-Aug Impact factor: 9.427