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Gastroenterology Research and Practice
Volume 2015 (2015), Article ID 580254, 8 pages
http://dx.doi.org/10.1155/2015/580254
Research Article

The Diagnostic Value of Brush Cytology Alone and in Combination with Tumor Markers in Pancreaticobiliary Strictures

1Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Kiziliay Street No. 4, Sihhiye, 06100 Ankara, Turkey
2Department of Pathology, Turkiye Yuksek Ihtisas Education and Research Hospital, Kiziliay Street No. 4, Sihhiye, 06100 Ankara, Turkey

Received 19 January 2015; Accepted 18 March 2015

Academic Editor: Michel Kahaleh

Copyright © 2015 Ufuk Barış Kuzu 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

Aim. Differentiation of malignant and benign strictures constitutes a problem despite the increasing experience of the endoscopists, radiologists, and pathologists. The aim of our study is to determine the factors that affect the efficacy of the ERCP guided brush cytology in PBS and to evaluate its diagnostic success when used alone and together with tumor markers. Method. The data from brush cytologies of 301 PBS patients were collected retrospectively and analyzed. The final diagnosis was approved based on the histological examination of the tissue taken surgically or by other methods. In the absence of a histological diagnosis, the final diagnosis was based on radiological studies or the results of a 12-month clinical follow up. Results. A total of 28 patients were excluded from the study. From the remaining 273 patients 299 samples were analyzed. The sensitivity and the specificity of brush cytology in diagnosing malignancy are 62.4% and 97.7, respectively. The sensitivity of brush cytology increased to 94.1% when combined with CA-19.9 and CA-125. Conclusion. Brush cytology is a useful method in diagnosing pancreaticobiliary strictures. Advanced age, stricture dilatation before sampling, the presence of a mass identified by radiological studies, high levels of CA-19.9, ALT, and total bilirubin increase the sensitivity of brush cytology.