GIÁ TRỊ CỦA CHỌC HÚT KIM NHỎ QUA SIÊU ÂM NỘI SOI TRONG CHẨN ĐOÁN TỔN THƯƠNG TỤY TẠI BỆNH VIỆN K

Abstract

Background: This study aims to describe clinical, endoscopic ultrasound image and value of endoscopic ultrasound fine needle aspiration in diagnostic pancreatic lesions at K Hospital. Population and methods: A retrospective and prospective, descriptive study on 33 patients with pancreatic lesions detected through abdominal ultrasound or computed tomography scanning. All patients underwent endoscopic ultrasound fine needle aspiration and had post surgical or biopsy pathology result from October 2021 to December 2022. Results:  Mean age was 58.3(±11.5) years. Most complaining symptoms were abdominal pain, fatigue and weight loss. Lesions mostly located in pancreatic head account for 54,5%. Mean lesion size was 33±7 mm. All specimens after puncture were adequate to diagnostic .Final pathology revealed malignancy in 25 cases, 8 cases were benign mass. After the procedure, only one patient had local bleeding after puncture, no major complications such as pancreatitis, abdominal infection, hematoma or tumor seeding were found for 3 months follow up. Sensitivity, specificity, positive diagnostic value, negative diagnostic value and accuracy of endoscopic ultrasound fine needle aspiration were 882,7%, 75%, 37,5, 96% and 81,8%., respectively. Conclusion: Endoscopic ultrasound with fine-needle aspỉation is a safe, high-precision, low-risk, and relatively effective technique in collecting histopathological samples for the purpose of making a definite diagnosis with pancreatic lesions.