Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?

doi:10.4253/wjge.v11.i8.454

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Aug 16, 2019; 11(8): 454-471
Published online Aug 16, 2019. doi: 10.4253/wjge.v11.i8.454

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Figure 1 Fine needle biopsy needles types. A: Acquire (Boston Scientific, Marlborough, MA, United States) needle; B: SharkCore™ (Medtronic Inc., Sunnyvale, CA, United States) needle; C: ProCore™ (Wilson-Cook Medical Inc., Winston-Salem, NC, United States) needle.

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Figure 2 Fine needle biopsy sample of pancreatic adenocarcinoma, which clearly shows the preserved histological architecture of the malignant tissue (hematoxylin and eosin staining, 10 ×).

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Figure 3 A practical flow chart for selecting among the available needles in each scenario (pancreatic neuroendocrine tumors, pancreatic neuroendocrine tumors; autoimmune pancreatitis, autoimmune pancreatitis; adenocarcinoma, adenocarcinoma). ROSE: Rapid on site evaluation; EUS-FNA: Endoscopic ultrasound guided-fine needle aspiration; EUS-FNB: Endoscopic ultrasound guided-fine needle biopsy; ADK: Adenocarcinoma; AIP: Autoimmune pancreatitis.

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Figure 4 Endoscopic ultrasound guided-fine needle biopsy sample of a pancreatic lesion, obtained by using ProCore 22 G needle.

Citation: Conti CB, Cereatti F, Grassia R. Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come? World J Gastrointest Endosc 2019; 11(8): 454-471
URL: https://www.wjgnet.com/1948-5190/full/v11/i8/454.htm
DOI: https://dx.doi.org/10.4253/wjge.v11.i8.454