Document Detail

Endoscopic sonographically guided fine-needle aspiration yield in submucosal tumors of the gastrointestinal tract.
MedLine Citation:
PMID:  15328428     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To study the yield of endoscopic ultrasonographically guided fine-needle aspiration cytologic examination in the diagnosis of submucosal masses. METHODS: From 1999 to 2003, 10 patients underwent ultrasonographically guided fine-needle aspiration for the cytologic diagnosis of submucosal masses in our institution. The endoscopic ultrasonography records and the cytology database were consulted, and the reports were analyzed, as were slide material and the technical aspects related to these procedures. All procedures were performed under conscious sedation and cardiorespiratory monitoring on an outpatient basis. Ten patients (4 men and 6 women; mean age, 60.8 years) were studied. RESULTS: Eight lesions were located in the stomach, and 2 were located in the esophagus, with a mean diameter of 3.3 cm. An experienced cytopathologist was present on-site during all procedures for assessment of adequacy and preliminary cytologic examination. Cytologic diagnoses were obtained in 8 cases as follows: 6 gastrointestinal stromal tumors, 1 organizing submucosal hematoma, and 1 low-grade mucosa-associated lymphoid tissue-associated lymphoma. Two cases consisted of scant gastric epithelium only and were considered nondiagnostic. The cytologic diagnoses guided further clinical treatment. CONCLUSIONS: Ultrasonographically guided fine-needle aspiration with cytopathologic analysis has a high accuracy rate (80%) for diagnosing submucosal lesions. These findings potentially affect clinical decision making.
Vitor Arantes; Roberto Logroño; Sohaib Faruqi; Ijaz Ahmed; Irving Waxman; Manoop S Bhutani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  23     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-25     Completed Date:  2004-12-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1141-50     Citation Subset:  IM    
Center for Endoscopic Ultrasound, Department of Medicine, University of Texas Medical Branch, Galveston 77555-0764, USA.
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MeSH Terms
Biopsy, Fine-Needle / methods
Gastrointestinal Stromal Tumors / pathology*,  ultrasonography
Lymphoma, B-Cell, Marginal Zone / pathology,  ultrasonography
Middle Aged
Sensitivity and Specificity
Stomach Neoplasms / pathology,  ultrasonography

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