[Percutaneous needle biopsy in the diagnosis of pancreatic cancer].
The data on two procedures of ultrasound-guided fine-needle biopsy of pancreatic masses in 81 patients are presented (1999-2001): for cutting biopsy--64, and aspiration--and 17. Pancreatic cancer was identified in 41, non-epithelial tumor--3, metastasis to pancreas--2 and indurative pancreatitis--21. Complication were rare: hematoma formation after interstitial biopsy--1 (1.6%) and subcutaneous seeding--1 (5.9%) after aspiration biopsy. Sensitivity, specificity and accuracy for cutting biopsy were 96.7, 100 and 96.9%, respectively: aspiration--90.9, 90.9 and 88.3%, respectively. Ultrasound-guided transabdominal fine-needle biopsy of pancreas is a low-invasive and effective method of diagnostic verification. The cutting procedure was more effective than aspiration biopsy: also, it helped identify histological pattern of tumor and grade of malignancy. Patients with chronic indurative pancreatitis are to be followed up even when primary fine-needle biopsy results are negative.
Pavlovskiĭ
A V
AV
Central Research Institute of Roentgeno-Radiology, Ministry of Health of the RF, St. Petersburg.
Granov
D A
DA
Ubranskiĭ
A I
AI
Rasskazov
A K
AK
Tarazov
P G
PG
D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012680:Sensitivity and Specificity; D013396:Suction; D014463:Ultrasonography