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Review
. 2013 Sep;46(5):540-2.
doi: 10.5946/ce.2013.46.5.540. Epub 2013 Sep 30.

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

Eun Young Kim  1
Affiliations
Review

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

Eun Young Kim. Clin Endosc. 2013 Sep.

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.

Keywords: Endoscopic ultrasound-guided fine needle aspiration; Endosonography; Pancreatic neoplasms.

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Conflict of interest statement

The author has no financial conflicts of interest.

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