Diagnostic efficacy of smear plus liquid-based cytology for EUS-FNA of solid pancreatic lesions: A propensity-matched study

Liquid-based cytology (LBC) is a thin-layer slide preparation procedure that was developed to overcome the cell crowding and contamination associated with smear cytology (SC). The present study compared diagnostic efficacy between SC alone and SC combined with LBC (SLBC) using endoscopic ultrasound-...

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Published in:Medicine (Baltimore) 2019-05, Vol.98 (19), p.e15575-e15575
Main Authors: Itonaga, Masahiro, Murata, Shin-Ichi, Hatamaru, Keiichi, Tamura, Takashi, Nuta, Junya, Kawaji, Yuki, Maekita, Takao, Iguchi, Mikitaka, Kato, Jun, Kojima, Fumiyoshi, Yamaue, Hiroki, Kawai, Manabu, Okada, Ken-Ichi, Hirono, Seiko, Shimokawa, Toshio, Tanioka, Kensuke, Kitano, Masayuki
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Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
Female
Humans
Male
Middle Aged
Observational Study
Pancreas - pathology
Pancreatic Diseases - diagnosis
Pancreatic Diseases - pathology
Propensity Score
Retrospective Studies
Sensitivity and Specificity
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container_end_page e15575
container_issue 19
container_start_page e15575
container_title Medicine (Baltimore)
container_volume 98
creator Itonaga, Masahiro
Murata, Shin-Ichi
Hatamaru, Keiichi
Tamura, Takashi
Nuta, Junya
Kawaji, Yuki
Maekita, Takao
Iguchi, Mikitaka
Kato, Jun
Kojima, Fumiyoshi
Yamaue, Hiroki
Kawai, Manabu
Okada, Ken-Ichi
Hirono, Seiko
Shimokawa, Toshio
Tanioka, Kensuke
Kitano, Masayuki
description Liquid-based cytology (LBC) is a thin-layer slide preparation procedure that was developed to overcome the cell crowding and contamination associated with smear cytology (SC). The present study compared diagnostic efficacy between SC alone and SC combined with LBC (SLBC) using endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) samples of pancreatic lesions.We retrospectively analyzed data derived from 311 consecutive patients. Specimens obtained via EUS-FNA from 179 patients between December 2011 and May 2016 were analyzed by SC, and those obtained from 132 patients between June 2016 and October 2017 were analyzed by SLBC. The 2 groups were compared in terms of adequate sample rate, diagnostic accuracy, sensitivity, and specificity using propensity score matching.SC and SLBC were compared using propensity score-matching in 204 patients (n = 102 per group). The adequate sample rate did not differ significantly between SLBC (100%) and SC (99.0%, P = 1). Diagnostic sensitivity, negative predictive value and accuracy were better for SLBC than for SC in terms of cytological (93.2% vs 67.4%, 68.4% vs 23.1%, and 94.1% vs 69.6%, P 
doi_str_mv 10.1097/MD.0000000000015575
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The present study compared diagnostic efficacy between SC alone and SC combined with LBC (SLBC) using endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) samples of pancreatic lesions.We retrospectively analyzed data derived from 311 consecutive patients. Specimens obtained via EUS-FNA from 179 patients between December 2011 and May 2016 were analyzed by SC, and those obtained from 132 patients between June 2016 and October 2017 were analyzed by SLBC. The 2 groups were compared in terms of adequate sample rate, diagnostic accuracy, sensitivity, and specificity using propensity score matching.SC and SLBC were compared using propensity score-matching in 204 patients (n = 102 per group). The adequate sample rate did not differ significantly between SLBC (100%) and SC (99.0%, P = 1). Diagnostic sensitivity, negative predictive value and accuracy were better for SLBC than for SC in terms of cytological (93.2% vs 67.4%, 68.4% vs 23.1%, and 94.1% vs 69.6%, P &lt; .01 each, respectively) and cytohistological (95.5% vs 81.5%, 76.5% vs 34.6%, and 96.1% vs 82.4%, P &lt; .01, P = .02, and P &lt; .01, respectively) analyses.SLBC improves the diagnostic efficacy of EUS-FNA for pancreatic lesions compared to LBC.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000015575</identifier><identifier>PMID: 31083233</identifier><language>eng</language><publisher>United States: the Author(s). 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The present study compared diagnostic efficacy between SC alone and SC combined with LBC (SLBC) using endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) samples of pancreatic lesions.We retrospectively analyzed data derived from 311 consecutive patients. Specimens obtained via EUS-FNA from 179 patients between December 2011 and May 2016 were analyzed by SC, and those obtained from 132 patients between June 2016 and October 2017 were analyzed by SLBC. The 2 groups were compared in terms of adequate sample rate, diagnostic accuracy, sensitivity, and specificity using propensity score matching.SC and SLBC were compared using propensity score-matching in 204 patients (n = 102 per group). The adequate sample rate did not differ significantly between SLBC (100%) and SC (99.0%, P = 1). Diagnostic sensitivity, negative predictive value and accuracy were better for SLBC than for SC in terms of cytological (93.2% vs 67.4%, 68.4% vs 23.1%, and 94.1% vs 69.6%, P &lt; .01 each, respectively) and cytohistological (95.5% vs 81.5%, 76.5% vs 34.6%, and 96.1% vs 82.4%, P &lt; .01, P = .02, and P &lt; .01, respectively) analyses.SLBC improves the diagnostic efficacy of EUS-FNA for pancreatic lesions compared to LBC.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>31083233</pmid><doi>10.1097/MD.0000000000015575</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods
Female
Humans
Male
Middle Aged
Observational Study
Pancreas - pathology
Pancreatic Diseases - diagnosis
Pancreatic Diseases - pathology
Propensity Score
Retrospective Studies
Sensitivity and Specificity
title Diagnostic efficacy of smear plus liquid-based cytology for EUS-FNA of solid pancreatic lesions: A propensity-matched study
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