Okasha, H., Hassanein, M., Khattab, H., Naguib, M. (2012). Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience. The Egyptian Journal of Hospital Medicine, 49(1), 511-520.
Hussein Okasha; Mohamed A. Hassanein; Hany M. Khattab; Mohamed Naguib. "Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience". The Egyptian Journal of Hospital Medicine, 49, 1, 2012, 511-520.
Okasha, H., Hassanein, M., Khattab, H., Naguib, M. (2012). 'Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience', The Egyptian Journal of Hospital Medicine, 49(1), pp. 511-520.
Okasha, H., Hassanein, M., Khattab, H., Naguib, M. Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience. The Egyptian Journal of Hospital Medicine, 2012; 49(1): 511-520.
Role of EUS-FNA and Percutaneous US-FNA in diagnosis of pancreatic head lesions, Egyptian Experience
1Internal Medicine Department, Faculty of Medicine, Cairo University
2Tropical Medicine Department, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt
3Pathology 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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