지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 152 - 158 (7page)
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초록· 키워드
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Background/Aims: This study aimed to identify the predictive factors for inaccurate endoscopic ultrasound-guided fine needleaspiration (EUS-FNA) diagnosis of swollen lymph nodes without rapid on-site cytopathological evaluation. Methods: Eighty-three consecutive patients who underwent EUS-FNA for abdominal or mediastinal lymph nodes from January2008 to June 2017 were included from a prospectively maintained EUS-FNA database and retrospectively reviewed. The sensitivity,specificity, and accuracy of EUS-FNA for the detection of neoplastic diseases were calculated. Candidate factors for inaccurate diagnosis(lymph node size and location, needle type, puncture route, number of passes, and causative disease) were evaluated by comparisonbetween accurately diagnosed cases and others. Results: The final diagnosis of the punctured lymph node was classified as neoplastic (65 cases: a metastatic lymph node, malignantlymphoma, or Crow-Fukase syndrome) or non-neoplastic (18 cases: a reactive node or amyloidosis). The sensitivity, specificity, andaccuracy were 83%, 94%, and 86%, respectively. On multivariate analyses, small size of the lymph node was the sole predictive factor forinaccurate EUS-FNA diagnosis with a significant difference (odds ratios, 19.8; 95% confidence intervals, 3.15–124; p=0.0015). Conclusions: The lymph node size of <16 mm was the only independent factor associated with inaccurate EUS-FNA diagnosis ofswollen lymph nodes.
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참고문헌 (47)
참고문헌 신청
Wiersema MJ / 1992 / Endoscopic ultrasonography as an adjunct to fine needle aspiration cytology of the upper and lower gastrointestinal tract / Gastrointest Endosc 38:35~39
Ardengh JC / 2011 / Endoscopic ultrasound-guided biopsies for mediastinal lesions and lymph node diagnosis and staging / Clinics(Sao Paulo) 66:1579~1583
Akahoshi K / 2014 / Clinical usefulness of endoscopic ultrasound-guided fine needle aspiration for gastric subepithelial lesions smaller than 2 cm / J Gastrointestin Liver Dis 23:405~412
Eckardt AJ / 2015 / Current endoscopic ultrasound-guided approach to incidental subepithelial lesions : optimal or optional / Ann Gastroenterol 28:160~172
Mekky MA / 2010 / Diagnostic utility of EUS-guided FNA in patients with gastric submucosal tumors / Gastrointest Endosc 71:913~919
Ardengh JC / 2011 / Endoscopic ultrasound-guided biopsies for mediastinal lesions and lymph node diagnosis and staging / Clinics(Sao Paulo) 66:1579~1583
Akahoshi K / 2014 / Clinical usefulness of endoscopic ultrasound-guided fine needle aspiration for gastric subepithelial lesions smaller than 2 cm / J Gastrointestin Liver Dis 23:405~412
Eckardt AJ / 2015 / Current endoscopic ultrasound-guided approach to incidental subepithelial lesions : optimal or optional / Ann Gastroenterol 28:160~172
Mekky MA / 2010 / Diagnostic utility of EUS-guided FNA in patients with gastric submucosal tumors / Gastrointest Endosc 71:913~919
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