Abstract

Although Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful and common method for the diagnosis of pancreatic neoplasms, the value of repeated EUS-FNA in patients with suspected pancreatic cancer but inconclusive initial EUS-FNA results is not well established.

Highlights

  • Pancreatic cancer is in the first 4 lethal cancer causing more than 30,000 deaths per year in the United States [1]

  • The dilemma comes up when practitioner faced with clinical scenario of high probable pancreatic cancer based on clinical manifestation but a non-diagnostic pathology report of FNA tissue sample

  • The aim of our study was to determine the accuracy of repeat Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) in diagnosis of suspected pancreatic cancer with inconclusive initial results to support the repeat EUSFNA strategy

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Summary

Introduction

Pancreatic cancer is in the first 4 lethal cancer causing more than 30,000 deaths per year in the United States [1]. Endoscopic ultrasound (EUS) has been shown to be the preferred imaging method for diagnosis of pancreatic cancer. It became even more accurate when provide tissue diagnosis by using fine needle aspiration [2]. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful and common method for the diagnosis of pancreatic neoplasms, the value of repeated EUS-FNA in patients with suspected pancreatic cancer but inconclusive initial EUS-FNA results is not well established. We are going to obtain the accuracy of repeated EUS-FNA in patients with suspected pancreatic neoplasm after the inconclusive initial EUS-FNA outcome

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