The Role of EUS-Guided FNA and FNB in Autoimmune Pancreatitis
العنوان: | The Role of EUS-Guided FNA and FNB in Autoimmune Pancreatitis |
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المؤلفون: | Luca Frulloni, Stefano Francesco Crinò, Nicolò de Pretis |
المصدر: | Diagnostics, Vol 11, Iss 1653, p 1653 (2021) Diagnostics |
بيانات النشر: | MDPI AG, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | Endoscopic ultrasound, medicine.medical_specialty, Tissue architecture, Medicine (General), medicine.diagnostic_test, business.industry, diagnosis, Clinical Biochemistry, Diagnostic accuracy, Review, medicine.disease, EUS-guided fine-needle aspiration (FNA), histology, R5-920, Histological diagnosis, Pancreatic cancer, Biopsy, Medicine, Radiology, Differential diagnosis, EUS-guided fine-needle biopsy (FNB), business, autoimmune pancreatitis (AIP), Autoimmune pancreatitis |
الوصف: | Autoimmune pancreatitis (AIP) is an increasingly recognized disease classified into two different subtypes based on histology. According to the International Diagnostic Criteria (ICDC), the diagnosis is achieved using a combination of different criteria. In patients presenting with a typical imaging appearance, the diagnosis may be straightforward, and steroid treatment is recommended, even without histological confirmation. In patients with atypical imaging or mass-forming appearance, the differential diagnosis with pancreatic cancer is challenging and crucial for treatment strategy. Endoscopic ultrasound (EUS)-guided tissue acquisition has been proposed to achieve a histological diagnosis. Fine-needle aspiration (FNA) was first proposed to aspirate cells from pancreatic lesions. Despite excellent results in terms of sensitivity for pancreatic cancer, the data are disappointing regarding the diagnosis of AIP. The recent development of new needles allowing fine-needle biopsy (FNB) has been associated with improved diagnostic accuracy based on preserving the tissue architecture, which is necessary to detect the typical histological features of AIP. However, the published literature on the role of EUS-guided FNA and FNB is limited and mainly focused on type 1 AIP. The present study aimed to review the available literature on the role of EUS-guided FNA and FNB in the diagnosis of AIP. |
اللغة: | English |
تدمد: | 2075-4418 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::daa5f3a4ef3bd9216397650ef3234ea6Test https://www.mdpi.com/2075-4418/11/9/1653Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....daa5f3a4ef3bd9216397650ef3234ea6 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 20754418 |
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