Publications

Authors:

De Pretis, Nicolo'; Crinò, STEFANO FRANCESCO; Frulloni, Luca

Title:

The Role of {EUS}-Guided {FNA} and {FNB} in Autoimmune Pancreatitis

Year:

2021

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

DIAGNOSTICS

ISSN of journal:

2075-4418

N° Volume:

11

Number or Folder:

9

Page numbers:

1653-1663

Keyword:

EUS-guided fine-needle aspiration (FNA); EUS-guided fine-needle biopsy (FNB); autoimmune pancreatitis (AIP); diagnosis; histology

Short description of contents:

: Autoimmune pancreatitis (AIP) is an increasingly recognized disease classified into two different subtypes based on histology. According to the International Diagnostic Criteria (ICDC), the diagnosis is achieved using a combination of different criteria. In patients presenting with a typical imaging appearance, the diagnosis may be straightforward, and steroid treatment is recommended, even without histological confirmation. In patients with atypical imaging or mass-forming appearance, the differential diagnosis with pancreatic cancer is challenging and crucial for treatment strategy. Endoscopic ultrasound (EUS)-guided tissue acquisition has been proposed to achieve a histological diagnosis. Fine-needle aspiration (FNA) was first proposed to aspirate cells from pancreatic lesions. Despite excellent results in terms of sensitivity for pancreatic cancer, the data are disappointing regarding the diagnosis of AIP. The recent development of new needles allowing fine-needle biopsy (FNB) has been associated with improved diagnostic accuracy based on preserving the tissue architecture, which is necessary to detect the typical histological features of AIP. However, the published literature on the role of EUS-guided FNA and FNB is limited and mainly focused on type 1 AIP. The present study aimed to review the available literature on the role of EUS-guided FNA and FNB in the diagnosis of AIP.

Product ID:

132281

Handle IRIS:

11562/1086726

Last Modified:

May 25, 2023

Bibliographic citation:

De Pretis, Nicolo'; Crinò, STEFANO FRANCESCO; Frulloni, Luca, The Role of {EUS}-Guided {FNA} and {FNB} in Autoimmune Pancreatitis «DIAGNOSTICS» , vol. 11 , n. 9 , 2021 , pp. 1653-1663

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