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Gastroenterology Research and Practice
Volume 2012 (2012), Article ID 908963, 7 pages
http://dx.doi.org/10.1155/2012/908963
Clinical Study

Percutaneous Fine Needle Biopsy in Pancreatic Tumors: A Study of 42 Cases

1Department of Pathology, University of Jan Kochanowski (UJK), Al. IX Wieków Kielc 19, 25-317 Kielce, Poland
2Department of Surgery and Surgical Nursing, University of Jan Kochanowski (UJK), Al. IX Wieków Kielc 19, 25-317 Kielce, Poland
3Department of Radiology, Joint Provincial Hospital Kielce, ul. Grunwaldzka 45, 25-736 Kielce, Poland

Received 29 June 2012; Revised 19 November 2012; Accepted 22 November 2012

Academic Editor: Grazyna Rydzewska

Copyright © 2012 Piotr Lewitowicz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The technological progress within the range of methods of pancreas imaging and their more common accessibility selects a group of patients requiring a microscopic diagnosis. Percutaneous fine needle aspiration biopsy under the control of ultrasonography (PCFNA/USG) is the method commonly used in determining the character of a focal pancreatic lesion. Aim of the Work. An assessment of the accessibility of PCFNA biopsy in the assessment of solid and cystic changes in a pancreas and the correlation of the results of imaging examination, cytological smear and concentration of a serous marker CA19-9. Material and Methodology. In our material we analysed 43 cases of tumors of the pancreas among the patients who were at the average age of 59 ± 10.4 (14 women, 28 men) diagnosed by PCFNA biopsy. Results. In a group we are 23 cases of cancer, 12 cases of inflammation and 7 cases of cellular atypia for which 2 cases of IPMN were included. The sensitivity of the method was 92.5% but specificity was 68%. In our opinion PCFNA/USG is a method of the comparable sensitivity and specificity with fine needle aspiration biopsy with EUS control and its efficiency depends to a considerable degree on experience and interdisciplinary collaboration.