19 G needle aspiration and 19 g tru-cut biopsy are similar reliable and efficient in sampling of pancreatic mass with endosonography

Yıl 2011, Cilt: 10 Sayı: 2, 52 - 55, 01.08.2011

Emrah Alper Altay Kandemir Mahmut Arabul Mustafa Çelik Fatih Aslan İşık Alper Belkıs Ünsal

Öz

In this study, we aimed to compare the reliability and efficiency of 19 gauge fine needle aspiration and 19 gauge TruCut needle biopsy in the sampling of pancreatic body mass with endosonography, in those conditions when diagnosis cannot be made by on-site pathological evaluation. Materials and Methods: Forty-eight patients seen at Izmir Ataturk Training and Research Hospital, Department of Gastroenterology, in whom pancreatic body mass sampling was performed with endosonography were enrolled in this study. 19 gauge endosonography with fine needle aspiration was performed in one group (n=26) and 19 gauge Tru-Cut needle biopsy sampling in the other (n=22). Results: An adequate sampling rate was achieved regardless of the number of sessions, with 92.3% with 19 gauge fine needle aspiration and 90.9% with 19 gauge Tru-Cut needle biopsy. Adequacy of cellularity ratio in the first session was 69.2% with fine needle aspiration and 72.7% with Tru-Cut needle biopsy (p>0.05). While the ratio of obtaining cell block from fine needle aspiration was 23%, this ratio was 45% with Tru-Cut needle biopsy (p

Anahtar Kelimeler

Tru-Cut needle biopsy, fine needle aspiration, endosonography, pancreas

Pankreas kitlelerinin endosonografi ile örneklemesinde 19 gauge iğne aspirasyon ve 19 gauge tru-cut biyopsi benzer etkinlik ve güvenilirliktedir

Öz

Bu çalışmada yerinde sitopatolojik inceleme yapılamayan ortamda pankreas gövde kesimde yerleşik fokal pankreatik kitlelerden örnek alınmasında 19-gauge endoskopik ultrason - ince iğne aspirasyon biyopsisi ile 19 gauge endoskopik ultrason tru-cut biyopsinin örneklemedeki hücresel yeterliliğini ve güvenilirliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: İzmir Atatürk Eğitim ve Araştırma Hastanesi Gastroenteroloji kliniğinde endosonografi kullanılarak doku örneklemesi yapılan 48 hasta çalışmaya dahil edildi. Bir gruba (n=26) 19 gauge endoskopik ultrason ince iğne aspirasyon ile, diğer gruba (n=22) 19 gauge tru-cut biopsi ile pankreas kitle örneklemesi yapıldı. Bulgular: İşlem tekrar sayısına bakılmaksızın, yeterli örnekleme yapılma oranı 19- gauge ince iğne aspirasyon biyopside %92.3 ve 19 gau- ge tru-cut biyopside %90.9, ince iğne aspirasyon biyopsisi grubunda 1. seansta hücresel yeterlilik oranı %69.2 % , tru-cut biyopsi grubunda 1. seansta hücresel yeterlilik oranı %72.7 idi (p>0 ,05). İnce iğne aspirasyon biyopsiside hücre bloğu elde edilme oranı %23 iken, tru-cut biyopsi'de %45 idi (P

Anahtar Kelimeler

Tru-cut biopsi, İnce iğne aspirasyon biopsisi, pankreatik kitle

Kaynakça

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