• Users Online:287
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2017  |  Volume : 6  |  Issue : 7  |  Page : 11

Retrospective analysis of endoscopic ultrasound-guided fine needle aspiration for lymph nodes in a tertiary center in india in the last 3 years: Assessment of efficacy, attainment of core biopsy and to see the disease trend in western india

Surat Institute of Digestive Sciences, Surat, Gujarat, India

Correspondence Address:
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2303-9027.212295

Rights and Permissions

Methods: All patients for lymph node assessment were subjected to endoscopic ultrasound-guided fine needle aspiration (EUS FNA) and core biopsy. First pass made with a stylet and the subsequent passes without the stylet. First two passes were made with a 22-gauge needle, material taken for cytology. Third and the fourth pass were made with 19-gauge needle and material taken for core biopsy in formalin. Fifth pass was made with 19-gauge needle and material taken in saline for GeneXpert and SOS acid-fast bacilli (AFB). Results: Total number of patients was 72. The most common sites were mediastinum - 26, peripancreatic nodes - 39, celiac - 05, and nodes at porta - 2. Positive Diagnosis: 70 (97.2%) Inconclusive: 2 (2.8%) Diagnostic Trends: Tuberculosis: 42 (58.3%) Metastatic Carcinoma: 18 (25%) Lymphoma: 6 (5.6%) Inflammatory: 2 (2.8%) Core Biopsy: Total: 72 Granuloma with Caseation seen: 25 (59.5%) Gene Xpert positive: 17 (40.5%) immunohistochemistry (IHC) Possible in Lymphoma Cases: 4 (66.7%) Need for repeat core biopsy: 2 (33.3%) Blood contamination: 60 (83.3%). Conclusion: EUS FNA and fine needle biopsy are effective modalities for the assessment of mediastinal and abdominal nodes, with a high accuracy of 97.2%. Adequate core biopsy is obtained for GeneXpert, AFB culture in up to 90% cases. In cases of lymphoma, the core obtained gave positive IHC grading in 66.7% cases, suggesting a need for a better core biopsy needle. Blood contamination remains a problem for the pathologist in core taken with a 19-gauge needle.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded32    
    Comments [Add]    

Recommend this journal