Assessment of the Diagnostic Accuracy of EUS-FNAC for Evaluating Intra-Abdominal Lesions
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Date
2024-01
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Publisher
Society for Health Care & Research Development
Abstract
Background: The abdominal cavities can develop a wide range of reactive, inflammatory, and neoplastic lesions. Determining prognosis and choosing the best method of treatment require accurate diagnosis. EUS-FNA is now routinely done in many endoscopic centers. This study conducted to assess the diagnostic accuracy of EUS-FNAC for evaluating intra-abdominal lesions. The aim of this study was to evaluate the diagnostic accuracy of EUS-FNAC for evaluating intra-abdominal lesions. Material & Methods: The observational analytical study was carried out from January 2016 to February 2017 over a period of 12 months in the general surgery unit in the Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. About twenty-five patients with intra-abdominal lesions were included in this study; the other patients were excluded based on exclusion criteria. The results were given with the use of tables showing mean values, ranges, frequencies, and percentages. Results: Out of 25 cases, the maximum number of patients 7 (28.00%) were in the age group >60 years. The mean age was 50.04, within the range of 14� years. The male-female ratio was 2.13:1. Most patients have symptoms of abdominal pain 19 (76.00%). The majority of patients presented without abdominal lump (80.00%). Most of the intra-abdominal lesions detected by EUS were in the pancreas 16 (64.00%), followed by intra-abdominal lymphadenopathy 5 (20.00%). Most of the needle passes (17 or 68.00%) were 3-4 passes. Majority of the patients were malignant 18 (72.00%). The EUS-FNAC technique has a high validity (88%) for diagnosing of intra-abdominal lesions, with a perfect specificity (100%) and positive predictive value (100%). Conclusions: In surgical practise, intra-abdominal lesions will always remain an enigma. EUS-FNAC is a more recent, safe, and less invasive diagnostic tool for deeply seated intra-abdominal lesions.. The accuracy of EUS-FNAC is really excellent in our study. Therefore, EUS-FNAC can be used as a valuable tool for pathologic examination of intra-abdominal lesions.
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Keywords
Endoscopic Ultrasound, Fine Needle Aspiration Cytology, Intra-abdominal Lesions, Pancreatic Lesions, Biopsy
Citation
Rahman Fazlur, Ferdous Zannatul, Alam AHM Towhidul, Khan Manir Hossain. Assessment of the Diagnostic Accuracy of EUS-FNAC for Evaluating Intra-Abdominal Lesions. Annals of International Medical and Dental Research. 2024 Jan; 10(1): 41-49