Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience

Okasha, Hussein; Hassanein, Mohamed A.; Khattab, Hany M.; Naguib, Mohamed

Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience

Document Type : Original Article

Authors

¹ Internal Medicine Department, Faculty of Medicine, Cairo University

² Tropical Medicine Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt

³ Pathology Department, Faculty of Medicine, Cairo University

Abstract

Background: pancreatic carcinoma is one of the leading cancer morbidity and mortality worldwide. Endoscopic Ultrasound (EUS) provides good direct visualization of the pancreas and EUS-FNA raises the accuracy for diagnosing pancreatic malignancies. US-FNA is another established method for diagnosing pancreatic malignancies.
Aim: to determine the Role of Percutaneous US-FNA and EUS-FNA in diagnosis of pancreatic lesions.
Subjects & Methods: 131 patients with pancreatic masses were included in the study and sub-classified into 2 groups according to the imaging tool used, US-FNA (group I) and EUS-FNA (group II).
Results: using the appropriate statistical tools, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy were calculated for both groups. It was 88.2%, 93.9%, 96.8%, 97.5% and 90.1% respectively in group I. It was 77.8%, 100%, 100%, 75% and 86.7% respectively in group II.
Conclusion: US-FNA/EUS-FNA are safe reliable tools for diagnosis of pancreatic lesions.

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