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Titolo:
Pancreatic biopsy: Why? When? How?
Autore:
Ihse, I; Axelson, J; Dawiskiba, S; Hansson, L;
Indirizzi:
Univ Lund Hosp, Dept Surg, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 Hosp, Dept Surg, S-22185 Lund, Sweden Univ Lund Hosp, Dept Pathol, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 sp, Dept Pathol, S-22185 Lund, Sweden
Titolo Testata:
WORLD JOURNAL OF SURGERY
fascicolo: 9, volume: 23, anno: 1999,
pagine: 896 - 900
SICI:
0364-2313(199909)23:9<896:PBWWH>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
FINE-NEEDLE ASPIRATION; PERCUTANEOUS CORE BIOPSY; PERITONEAL CYTOLOGY; ABDOMINAL BIOPSY; DIAGNOSIS; LESIONS; CARCINOMA; CANCER; CYTODIAGNOSIS; TUMORS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
46
Recensione:
Indirizzi per estratti:
Indirizzo: Ihse, I Univ Lund Hosp, Dept Surg, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 pt Surg, S-22185 Lund, Sweden
Citazione:
I. Ihse et al., "Pancreatic biopsy: Why? When? How?", WORLD J SUR, 23(9), 1999, pp. 896-900

Abstract

For final diagnosis of pancreatic cancer histologic or cytologic confirmation is needed. Tissue or cell material can be achieved by percutaneous puncture as part of the preoperative workup. During operation core-needle, incisional, and wedge biopsies or fine-needle aspiration cytology (FNAC) can bechosen. Sensitivity and diagnostic accuracy are high for both histologic and cytologic examinations, and false-positive results are exceptional, giving a specificity of 100% in most published series. The complication rate islow, also for knife biopsies in recent reports, provided biopsy of seemingly normal tissue is avoided. Percutaneous puncture is currently restricted to patients found to have advanced disease and who are not candidates for laparotomy. Microscopic confirmation is required in all patients in whom chemotherapy, radiotherapy, or both are planned. However, for attempted radical surgery per se, biopsy is not mandatory if the clinical suspicion of cancer is high and the surgical team has documented low postoperative mortalityand morbidity rates.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 14:43:21