Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Prospective Assessment of the Performance of a New Fine Needle Biopsy Device for EUS-Guided Sampling of Solid Lesions

  • El Hajj, Ihab I. (Division of Gastroenterology, Section of Interventional Endoscopy, Indiana University School of Medicine) ;
  • Wu, Howard (Department of Laboratory Medicine and Cytopathology, Indiana University School of Medicine) ;
  • Reuss, Sarah (Department of Laboratory Medicine and Cytopathology, Indiana University School of Medicine) ;
  • Randolph, Melissa (Department of Laboratory Medicine and Cytopathology, Indiana University School of Medicine) ;
  • Harris, Akeem (Department of Laboratory Medicine and Cytopathology, Indiana University School of Medicine) ;
  • Gromski, Mark A. (Division of Gastroenterology, Section of Interventional Endoscopy, Indiana University School of Medicine) ;
  • Al-Haddad, Mohammad (Division of Gastroenterology, Section of Interventional Endoscopy, Indiana University School of Medicine)
  • Received : 2017.03.10
  • Accepted : 2017.05.31
  • Published : 2018.11.30
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Abstract

Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) remains the most common EUS-guided tissue acquisition technique. This study aimed to evaluate the performance of a new Franseen tip fine needle biopsy (FNB) device for EUSguided sampling of solid lesions and compare it with the historical FNA technique. Methods: $Acquire^{(R)}$ 22 G FNB needle (Boston Scientific Co., Natick, MA, USA) was used for solid tumor sampling (Study group). Tissue was collected for rapid on-site evaluation, and touch and crush preparations were made. Historical EUS-FNA samples obtained using $Expect^{(R)}$ 22 G FNA needle (Boston Scientific Co.) were used as controls (Control group). All specimens were independently evaluated by two cytopathologists blinded to the formal cytopathological diagnosis. Results: Mean cell block histology scores were significantly higher (p=0.046) in the FNB group (51 samples) despite a significantly lower (p<0.001) mean number of passes compared to the FNA group (50 specimens). The overall diagnostic yields for the FNB vs. FNA groups were 96% vs. 88%. The degree of tumor differentiation was adequately assessed in all cell block qualifying lesions in the FNB group. Two patients developed post-FNB abdominal pain. Conclusions: The new Franseen tip FNB device provides histologically superior and cytologically comparable specimens to those obtained by FNA, but with fewer passes.

Keywords

References

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