The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions

Hasan Ali Durmaz; Selda Tezel; Erdem Birgi; Onur Ergun; Tuğba Taşkın Türkmenoğlu; Baki Hekimoğlu

The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions

Abstract

The purpose of our study was to present the technical success and diagnostic accuracy and complications of pancreatic fine needle aspiration biopsies performed under the guidance of imaging methods. A total number of 81 patients (44 male, 37 female) who underwent fine-needle aspiration (FNA) biopsy under the guidance of imaging methods between 2012-2019 were included in the study. The procedure reports and pathology results were examined retrospectively. The biopsies were performed using Chiba type 22-gauge needle with ultrasonography (USG) or computerized tomography (CT). The biopsies reported as inadequate material in the histopathological examination were evaluated as unsuccessful, whereas the biopsies with benign, malignant and suspicious results were evaluated as successful. The median age of the patients included in the study was 68 (range: 40-86 years). Of the 81 pancreatic mass biopsies, 71 were performed with USG (87.7%) and 10 with CT (12.3%). 61 of the lesions were at the pancreas head (75.3%), and 20 at the body-tail (24.7%). 68 of the lesions were solid (83%), 8 were cystic (1%) and 5 were mixed (6%). When the lesion localization and lesion content were evaluated according to biopsy success, no statistical difference was found (p>0.05). While the diagnostic accuracy is 97.3% in lesions over 4 cm, this rate decreases in lesions below 2 cm (60%). A statistically significant difference was found between the lesion size and biopsy success (Pearson chi-square p = 0.011). 7.4% (n = 6) of the pathology results were nondiagnostic. Three of these 6 biopsies were accompanied by CT, while the remaining three were USG-guided. The diagnostic success rate was 95.8% in USG-guided biopsies and 70% in CT-guided biopsies and this difference was statistically significant. (Fisher exact chi-square value p = 0.023). As a conclusion, USG and CT-guided percutaneous FNA is a safe, easy-to-perform, and reproducible procedure with high diagnostic rates in the diagnosis of pancreatic lesions.

Keywords

Details

Primary Language

English

Subjects

Surgery

Journal Section

Clinical Research

Authors

Hasan Ali Durmaz ^* This is me
Türkiye

Selda Tezel This is me
Türkiye

Erdem Birgi This is me
Türkiye

Onur Ergun This is me
Türkiye

Tuğba Taşkın Türkmenoğlu This is me
Türkiye

Baki Hekimoğlu This is me
Türkiye

Publication Date

July 1, 2019

Submission Date

January 13, 2019

Acceptance Date

-

Published in Issue

Year 2019 Volume: 12 Number: 2

IZ

https://izlik.org/JA82XY65BX

Cite

RIS / Bibtex

APA

Durmaz, H. A., Tezel, S., Birgi, E., Ergun, O., Taşkın Türkmenoğlu, T., & Hekimoğlu, B. (2019). The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions. Journal of Surgical Arts, 12(2), 32-36. https://izlik.org/JA82XY65BX

AMA

1.Durmaz HA, Tezel S, Birgi E, Ergun O, Taşkın Türkmenoğlu T, Hekimoğlu B. The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions. JSurgArts. 2019;12(2):32-36. https://izlik.org/JA82XY65BX

Chicago

Durmaz, Hasan Ali, Selda Tezel, Erdem Birgi, Onur Ergun, Tuğba Taşkın Türkmenoğlu, and Baki Hekimoğlu. 2019. “The Efficacy of Fine Needle Aspiration Biopsies in the Diagnosis of Pancreas Lesions”. Journal of Surgical Arts 12 (2): 32-36. https://izlik.org/JA82XY65BX.

EndNote

Durmaz HA, Tezel S, Birgi E, Ergun O, Taşkın Türkmenoğlu T, Hekimoğlu B (July 1, 2019) The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions. Journal of Surgical Arts 12 2 32–36.

IEEE

[1]H. A. Durmaz, S. Tezel, E. Birgi, O. Ergun, T. Taşkın Türkmenoğlu, and B. Hekimoğlu, “The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions”, JSurgArts, vol. 12, no. 2, pp. 32–36, July 2019, [Online]. Available: https://izlik.org/JA82XY65BX

ISNAD

Durmaz, Hasan Ali - Tezel, Selda - Birgi, Erdem - Ergun, Onur - Taşkın Türkmenoğlu, Tuğba - Hekimoğlu, Baki. “The Efficacy of Fine Needle Aspiration Biopsies in the Diagnosis of Pancreas Lesions”. Journal of Surgical Arts 12/2 (July 1, 2019): 32-36. https://izlik.org/JA82XY65BX.

JAMA

1.Durmaz HA, Tezel S, Birgi E, Ergun O, Taşkın Türkmenoğlu T, Hekimoğlu B. The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions. JSurgArts. 2019;12:32–36.

MLA

Durmaz, Hasan Ali, et al. “The Efficacy of Fine Needle Aspiration Biopsies in the Diagnosis of Pancreas Lesions”. Journal of Surgical Arts, vol. 12, no. 2, July 2019, pp. 32-36, https://izlik.org/JA82XY65BX.

Vancouver

1.Hasan Ali Durmaz, Selda Tezel, Erdem Birgi, Onur Ergun, Tuğba Taşkın Türkmenoğlu, Baki Hekimoğlu. The efficacy of fine needle aspiration biopsies in the diagnosis of pancreas lesions. JSurgArts [Internet]. 2019 Jul. 1;12(2):32-6. Available from: https://izlik.org/JA82XY65BX