How Can We Get the Best Results with Endoscopic Ultrasound-Guided Fine Needle Aspiration?

How Can We Get the Best Results with Endoscopic Ultrasound-Guided Fine Needle Aspiration?
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DOI:
10.5946/ce.2012.45.2.132
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发表时间:
2012-06-01
期刊:
影响因子:
2.5
通讯作者:
Varadarajulu, Shyam
Varadarajulu, Shyam
中科院分区:
其他
文献类型:
--
作者:
Ramesh, Jayapal;Varadarajulu, Shyam

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内镜超声引导下的细针穿刺(EUS-FNA)已经发展成为组织获取不可或缺的工具。虽然EUS-FNA对肺癌分期的总体诊断准确率大于90%,但对胰腺肿块病变的诊断准确率较低。几个因素,如肿瘤的位置,疾病特征和手术技术决定EUS-FNA的结果。在这篇综述中,我们评估了各种技术因素,这些因素是获得最佳手术结果的关键。
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has evolved to become an indispensable tool for tissue acquisition. While the overall diagnostic accuracy of EUS-FNA is greater than 90% for lung cancer staging, it is lower for pancreatic mass lesions. Several factors such as location of the tumor, disease characteristics and procedural techniques determine the outcomes of EUS-FNA. In this review we evaluate the various technical factors that are keys to attaining optimal procedural outcomes.