Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm

Detalhes bibliográficos
Autor(a) principal: Faias, Sandra
Data de Publicação: 2020
Outros Autores: Cravo, Marília, Pereira da Silva, João, Chaves, Paula, Dias Pereira, A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/45297
Resumo: The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creat iveco mmons .org/licen ses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creat ivecommons .org/publi cdoma in/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data
id RCAP_6618294c761e217f8d89e64819a2c8ca
oai_identifier_str oai:repositorio.ul.pt:10451/45297
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cmCEAPancreatic cystEUS-FNAIPMNMCNSmall sizeThe Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creat iveco mmons .org/licen ses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creat ivecommons .org/publi cdoma in/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the dataBackground: In current guidelines, endoscopic ultrasound with fne-needle aspiration (EUS-FNA) is recommended in pancreatic cystic lesions (PCLs) with worrisome features (size≥3 cm, mural nodule, or Wirsung dilation). Objective: To evaluate the diagnostic ability and assess the accuracy of EUS-FNA in PCLs smaller than 3 cm. Methods: Retrospective study of PCLs<3 cm (2007–2016) undergoing EUS-FNA. Clinical, EUS and pancreatic cystic fuid (PCF) data were prospectively registered. Performance of EUS-FNA with PCF analysis for the detection of malignancy and accuracy in surgical cohort were analyzed. Results: We evaluated 115 patients with PCLs<3 cm who underwent EUS-FNA. 19 patients underwent surgery, 7 had malignant, 8 pre-malignant, and the remaining 4 benign lesions. Mass/mural nodule was present in 27% of the cysts, CEA level was higher than 192 ng/mL in 39.4% of patients, and only 35% of cytologic samples were informative. Nevertheless, additional FNA for PCF analysis improved the diagnostic performance of EUS imaging—AUC=0.80 versus AUC=60. Conclusion: EUS-FNA has good accuracy in PCLs<3 cm. It confrmed malignancy even in lesions without worrisome features (nodule/mass), with two in every fve resections showing high-risk/malignant lesions. EUS-FNA was also useful to diagnose benign cysts, possibly allowing surveillance to be stopped in one in every fve patients.This study was supported by a Research Grant from Sociedade Portuguesa de Endoscopia Digestiva in 2018 that had no role in any stage of the study, from design to submission for publication.Springer NatureRepositório da Universidade de LisboaFaias, SandraCravo, MaríliaPereira da Silva, JoãoChaves, PaulaDias Pereira, A.2020-12-14T15:24:26Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/45297engBMC Gastroenterol 20, 413 (2020)10.1186/s12876-020-01565-91471-230Xinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:47:02Zoai:repositorio.ul.pt:10451/45297Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:57:47.209898Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
title Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
spellingShingle Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
Faias, Sandra
CEA
Pancreatic cyst
EUS-FNA
IPMN
MCN
Small size
title_short Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
title_full Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
title_fullStr Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
title_full_unstemmed Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
title_sort Endoscopic ultrasound with fine needle aspiration is useful in pancreatic cysts smaller than 3 cm
author Faias, Sandra
author_facet Faias, Sandra
Cravo, Marília
Pereira da Silva, João
Chaves, Paula
Dias Pereira, A.
author_role author
author2 Cravo, Marília
Pereira da Silva, João
Chaves, Paula
Dias Pereira, A.
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Faias, Sandra
Cravo, Marília
Pereira da Silva, João
Chaves, Paula
Dias Pereira, A.
dc.subject.por.fl_str_mv CEA
Pancreatic cyst
EUS-FNA
IPMN
MCN
Small size
topic CEA
Pancreatic cyst
EUS-FNA
IPMN
MCN
Small size
description The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creat iveco mmons .org/licen ses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creat ivecommons .org/publi cdoma in/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data
publishDate 2020
dc.date.none.fl_str_mv 2020-12-14T15:24:26Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/45297
url http://hdl.handle.net/10451/45297
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Gastroenterol 20, 413 (2020)
10.1186/s12876-020-01565-9
1471-230X
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799134522576470016

Registros relacionados