caa a22 4500 477035655 CHVBK 20180405111304.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/s002689900045 doi (NATIONALLICENCE)springer-10.1007/s002689900045 Percutaneous Needle Biopsy of the Pancreas: When Should It Be Performed? [Elektronische Daten] [Areti Tillou, Mary R. Schwartz, Jr., Paul H. Jordan] Abstract. Is it appropriate for a good risk patient with a clinical history or imaging studies suggestive of an operable pancreatic neoplasm to undergo a percutaneous fine-needle aspiration biopsy (FNAB) prior to operation? A group of 118 patients who underwent percutaneous FNAB of the pancreas between 1987 and 1993 were evaluated retrospectively. The initial readings of the biopsies were positive for neoplasm in 78 patients and negative in 32. Four suspicious biopsies were included with the positive biopsies for analysis, and four unsatisfactory biopsies were added to the negative biopsies. Operation was performed on 57 of the 118 patients; 39 of these patients had a positive and 18 a negative FNAB. Of the 18 patients with a negative biopsy, 12 were proved to have neoplasia at operation. No operation was performed on 61 patients; 43 of these patients had a positive and 18 a negative FNAB. Three patients with a negative biopsy were treated with chemotherapy, and three subsequently died of pancreatic cancer. It was concluded that because the sensitivity of percutaneous FNAB is only 84% the procedure should be limited to patients suspected of having pancreatic cancer deemed technically inoperable or medically unsuitable for operation.: 1996 by the Société Internationale de Chir, ugie Tillou Areti Department of Surgery, Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Suite 1639, Houston, Texas 77030, U.S.A., US aut Schwartz Mary R. Department of Pathology, Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Houston, Texas 77030, U.S.A., US aut Jordan Jr., Paul H. Department of Surgery, Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Suite 1639, Houston, Texas 77030, U.S.A., US aut https://doi.org/10.1007/s002689900045 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900045 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tillou Areti Department of Surgery, Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Suite 1639, Houston, Texas 77030, U.S.A., US aut NATIONALLICENCE 700 1- Schwartz Mary R. Department of Pathology, Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Houston, Texas 77030, U.S.A., US aut NATIONALLICENCE 700 1- Jordan Jr., Paul H. Department of Surgery, Baylor College of Medicine, The Methodist Hospital, 6550 Fannin, Suite 1639, Houston, Texas 77030, U.S.A., US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer