Small biopsies for pancreatic lesions: Is there still room for fine needle aspiration?

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBUENO, Adriana
dc.contributor.authorFELIPE-SILVA, Aloisio
dc.contributor.authorSAIEG, Mauro
dc.date.accessioned2024-04-05T19:35:37Z
dc.date.available2024-04-05T19:35:37Z
dc.date.issued2024
dc.description.abstractPancreatic carcinoma is an aggressive tumour with increasing incidence in both sexes worldwide. Early detection is, therefore, essential for patient management. A recent advancement involves the utilization of larger, thicker gauge needles, which enable the collection of core-type biopsies (FNB). Here, we investigated the role of fine needle aspiration and cytopathology in the diagnostic workflow of pancreatic lesions. A search query was designed to search for articles in the PubMed database comparing FNA and FNB for biopsy of pancreatic lesions, and detailed data were extracted from selected studies. Statistical analyses were performed using the R package meta version 6.2. Twenty-one studies made the final cut for data extraction. Overall, median age was 64.3 years (+/- 6.1; 47.6-71.5), male: female proportion 53.9 (+/- 11.3; 27.6-67.4), lesion size 3.1 cm (+/- 0.5; 1.9-4.2 cm) and percentage of malignant cases 78.3% (+/- 26.8; 2.1-100). FNA and FNB diagnostic yield was 85.8% (+/- 10.3; 70.0-100.0) and 89.2% (+/- 7.7; 70.0-98.6), respectively. Average accuracy was 89.5% (+/- 11.7; 63.0-100.0) for FNA and 90.8% (+/- 7.1; 77.0-100.0) for FNB. Adverse effects rate was 1.0% (+/- 1.3; 0-4.3) for FNA and 2.2% (+/- 4.4; 0-16.1) for FNB. None of the selected variables had a significant statistical difference between both methods. FNA and FNB perform similarly for diagnostic material acquisition in pancreatic lesions. The best outcome comes from the association of both techniques, emphasizing the value of combining cytological and histological morphology for the most accurate analysis. Much has been debated about the supposed advantages of FNB versus FNA sample acquisition for pancreatic lesions, with limited improvement in clinical parameters. According to our analysis, FNA and FNB perform similarly for diagnostic material acquisition in pancreatic lesions, with room for association of both techniques, emphasizing the value of combining cytological and histological morphology for the most accurate analysis.imageeng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationCYTOPATHOLOGY, v.35, n.1, p.70-77, 2024
dc.identifier.doi10.1111/cyt.13323
dc.identifier.eissn1365-2303
dc.identifier.issn0956-5507
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59029
dc.language.isoeng
dc.publisherWILEYeng
dc.relation.ispartofCytopathology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright WILEYeng
dc.subjectEUSeng
dc.subjectFNAeng
dc.subjectFNBeng
dc.subjectpancreatic lesioneng
dc.subject.otheron-siteeng
dc.subject.othereus-fnaeng
dc.subject.othermasseseng
dc.subject.othermulticentereng
dc.subject.othercomplicationseng
dc.subject.otheryieldeng
dc.subject.wosCell Biologyeng
dc.subject.wosPathologyeng
dc.titleSmall biopsies for pancreatic lesions: Is there still room for fine needle aspiration?eng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalBUENO, Adriana:AC Camargo Canc Ctr, Sao Paulo, Brazil
hcfmusp.author.externalSAIEG, Mauro:Fleury Grp, Sao Paulo, Brazil; Santa Casa Med Sch, Sao Paulo, Brazil; Santa Casa Med Sch, Dept Pathol, Rua Cesario Mota Jr 61, Sao Paulo, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcALOISIO SOUZA FELIPE DA SILVA
hcfmusp.description.beginpage70
hcfmusp.description.endpage77
hcfmusp.description.issue1
hcfmusp.description.volume35
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1165378010
hcfmusp.origem.pubmed37905686
hcfmusp.origem.scopus2-s2.0-85175490912
hcfmusp.origem.wosWOS:001090491400001
hcfmusp.publisher.cityHOBOKENeng
hcfmusp.publisher.countryUSAeng
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