215
Views
3
CrossRef citations to date
0
Altmetric
Review

Through-the-needle biopsy of pancreatic cystic lesions: current evidence and implications for clinical practice

ORCID Icon, , , , , , , , & show all
Pages 1165-1174 | Received 18 Aug 2021, Accepted 26 Nov 2021, Published online: 21 Dec 2021

References

  • de Jong K, Nio CY, Hermans JJ, et al. High prevalence of pancreatic cysts detected by screening magnetic resonance imaging examinations. Clin Gastroenterol Hepatol. 2010;8(9):806–811.
  • Farrell JJ. Prevalence, diagnosis and management of pancreatic cystic neoplasms: current status and future directions. Gut Liver. 2015;9:571–589.
  • European Study Group on Cystic Tumours of the Pancreas. European evidence-based guidelines on pancreatic cystic neoplasms. Gut. 2018;67:789–804.
  • Kosmahl M, Egawa N, Schröder S, et al. Mucinous nonneoplastic cyst of the pancreas: a novel nonneoplastic cystic change? Mod Pathol. 2002;15:154–158.
  • Crinò SF, Bernardoni L, Manfrin E, et al. Endoscopic ultrasound features of pancreatic schwannoma. Endosc Ultrasound. 2016;5:396–398.
  • Barresi L, Tacelli M, Traina M. Endoscopic ultrasound through-the-needle biopsy diagnosis of a pancreatic lymphoepithelial cyst. Dig Endosc. 2019;31:210.
  • Ricci C, Casadei R, Taffurelli G, et al. The usefulness of a multidisciplinary team approach in decision making for pancreatic serous cystic neoplasms. JOP. 2014;15:577–580.
  • Fernández-del Castillo C, Adsay NV. Intraductal papillary mucinous neoplasms of the pancreas. Gastroenterology. 2010;139:708–713.
  • Tanaka M, Fernández-del Castillo C, Adsay V, et al. International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 2012;12:183–197.
  • Thornton GD, McPhail MJ, Nayagam S, et al. Endoscopic ultrasound guided fine needle aspiration for the diagnosis of pancreatic cystic neoplasms: a meta-analysis. Pancreatology. 2013;13:48–57.
  • McCarty TR, Garg R, Rustagi T. Pancreatic cyst fluid glucose in differentiating mucinous from nonmucinous pancreatic cysts: a systematic review and meta-analysis. Gastrointest Endosc. 2021;S0016–5107:01323.
  • Mohan BP, Madhu D, Khan SR, et al. Intracystic glucose levels in differentiating mucinous from nonmucinous pancreatic cysts: a systematic review and meta-analysis. J Clin Gastroenterol. 2021. DOI:https://doi.org/10.1097/MCG.0000000000001507
  • Singhi AD, Nikiforova MN, McGrath K. DNA testing of pancreatic cyst fluid: is it ready for prime time? Lancet Gastroenterol Hepatol. 2017;2:63–72.
  • McCarty TR, Paleti S, Rustagi T. Molecular analysis of EUS-acquired pancreatic cyst fluid for KRAS and GNAS mutations for diagnosis of intraductal papillary mucinous neoplasia and mucinous cystic lesions: a systematic review and meta-analysis. Gastrointest Endosc. 2021;93:1019–1033.e5.
  • Facciorusso A, Buccino VR, Sacco R. Needle-based confocal laser endomicroscopy in pancreatic cysts: a meta-analysis. Eur J Gastroenterol Hepatol. 2020;32:1084–1090.
  • Rift CV, Kovacevic B, Toxværd A, et al. EUS-guided through-the-needle biopsy sampling of pancreatic cystic lesions: a pathologist’s guide for the endoscopist. Gastrointest Endosc. 2020;92:252–258.
  • Veitch AM, Vanbiervliet G, Gershlick AH, et al. Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines. Gut. 2016;65:374–389.
  • Kovacevic B, Kalaitzakis E, Klausen P, et al. EUS-guided through-the-needle microbiopsy of pancreatic cysts: technical aspects (with video). Endosc Ultrasound. 2020;9:220–224.
  • Kovacevic B, Karstensen JG, Havre RF, et al. Initial experience with EUS-guided microbiopsy forceps in diagnosing pancreatic cystic lesions: a multicenter feasibility study (with video). Endosc Ultrasound. 2018;7:383–388.
  • Facciorusso A, Turco A, Barnabà C, et al. Efficacy and safety of non-anesthesiologist administration of propofol sedation in endoscopic ultrasound: a propensity score analysis. Diagnostics (Basel). 2020;10:791.
  • Barresi L, Crinò SF, Fabbri C, et al. Endoscopic ultrasound-through-the-needle biopsy in pancreatic cystic lesions: a multicenter study. Dig Endosc. 2018;30:760–770.
  • Crinò SF, Bernardoni L, Brozzi L, et al. Association between macroscopically visible tissue samples and diagnostic accuracy of EUS-guided through-the-needle microforceps biopsy sampling of pancreatic cystic lesions. Gastrointest Endosc. 2019;90:933–943.
  • Kovacevic B, Klausen P, Hasselby JP, et al. A novel endoscopic ultrasound-guided through-the-needle microbiopsy procedure improves diagnosis of pancreatic cystic lesions. Endoscopy. 2018;50:1105–1111.
  • Yang D, Trindade AJ, Yachimski P, et al. Histologic analysis of endoscopic ultrasound-guided through the needle microforceps biopsies accurately identifies mucinous pancreas cysts. Clin Gastroenterol Hepatol. 2019;17:1587–1596.
  • Mittal C, Obuch JC, Hammad H, et al. Technical feasibility, diagnostic yield, and safety of microforceps biopsies during EUS evaluation of pancreatic cystic lesions (with video). Gastrointest Endosc. 2018;87:1263–1269.
  • Vestrup Rift C, Melchior LC, Kovacevic B, et al. Next-generation sequencing of endoscopic ultrasound guided microbiopsies from pancreatic cystic neoplasms. Histopathology. 2019;75:767–771.
  • Shimizu T, Akita M, Sofue K, et al. Pancreatobiliary-type intraductal papillary mucinous neoplasm of the pancreas may have 2 subtypes with distinct clinicopathologic and genetic features. Hum Pathol. 2019;91:26–35.
  • Larghi A, Manfrin E, Fabbri C, et al. Interobserver agreement among expert pathologists on through-the-needle microforceps biopsy samples for evaluation of pancreatic cystic lesions. Gastrointest Endosc. 2019;90:784–792.e4.
  • Phan J, Dawson D, Sedarat A, et al. Clinical utility of obtaining endoscopic ultrasound-guided fine-needle biopsies for histologic analyses of pancreatic cystic lesions. Gastroenterology. 2020;158:475–477.
  • Barresi L, Tarantino I, Traina M, et al. Endoscopic ultrasound-guided fine needle aspiration and biopsy using a 22-gauge needle with side fenestration in pancreatic cystic lesions. Digest Liver Dis. 2014; 46:45–50.
  • Facciorusso A, Barresi L, Cannizzaro R, et al. Diagnostic yield of endoscopic ultrasound-guided tissue acquisition in autoimmune pancreatitis: a systematic review and meta-analysis. Endosc Int Open. 2021;9:E66–E75.
  • Crinò SF, Ammendola S, Meneghetti A, et al. Comparison between EUS-guided fine-needle aspiration cytology and EUS-guided fine-needle biopsy histology for the evaluation of pancreatic neuroendocrine tumors. Pancreatology. 2021;21:443–450.
  • Facciorusso A, Wani S, Triantafyllou K, et al. Comparative accuracy of needle sizes and designs for EUS tissue sampling of solid pancreatic masses: a network meta-analysis. Gastrointest Endosc. 2019;90:893–903.e7.
  • Facciorusso A, Stasi E, Di Maso M, et al. Endoscopic ultrasound-guided fine needle aspiration of pancreatic lesions with 22 versus 25 Gauge needles: a meta-analysis. United Eur Gastroenterol J. 2017;5:846–853.
  • Crinò SF, Di Mitri R, Nguyen NQ, et al. Endoscopic ultrasound-guided fine-needle biopsy with or without rapid on-site evaluation for diagnosis of solid pancreatic lesions: a randomized controlled non-inferiority trial. Gastroenterology. 2021;9:03094.
  • Crinò SF, Le Grazie M, Manfrin E, et al. Randomized trial comparing fork-tip and side-fenestrated needles for EUS-guided fine-needle biopsy of solid pancreatic lesions. Gastrointest Endosc. 2020;92:648–658.e2.
  • Facciorusso A, Ramai D, Conti Bellocchi MC, et al. Diagnostic yield of endoscopic ultrasound-guided liver biopsy in comparison to percutaneous liver biopsy: a two-center experience. Cancers (Basel). 2021;13:3062.
  • Facciorusso A, Sunny SP, Del Prete V, et al. Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions: a meta-analysis. Gastrointest Endosc. 2020;91:14–22.e2.
  • Basar O, Yuksel O, Yang DJ, et al. Feasibility and safety of microforceps biopsy in the diagnosis of pancreatic cysts. Gastrointest Endosc. 2018;88:79–86.
  • Zhang ML, Arpin RN, Brugge WR, et al. Moray micro forceps biopsy improves the diagnosis of specific pancreatic cysts. Cancer Cytopathol. 2018;126:414–420.
  • Yang D, Samarasena JB, Jamil LH, et al. Endoscopic ultrasound-guided through-the-needle microforceps biopsy in the evaluation of pancreatic cystic lesions: a multicenter study. Endosc Int Open. 2018;6:E1423–E1430.
  • Kovacevic B, Klausen P, Rift CV, et al. Clinical impact of endoscopic ultrasound-guided through-the-needle microbiopsy in patients with pancreatic cysts. Endoscopy. 2021;53:44–52.
  • Rift CV, Scheie D, Toxværd A, et al. Diagnostic accuracy of EUS-guided through-the-needle-biopsies and simultaneously obtained fine needle aspiration for cytology from pancreatic cysts: a systematic review and meta-analysis. Pathol Res Pract. 2021;220:153368.
  • McCarty T, Rustagi T. Endoscopic ultrasound-guided through-the-needle microforceps biopsy improves diagnostic yield for pancreatic cystic lesions: a systematic review and meta-analysis. Endosc Int Open. 2020;8:E1280–E1290.
  • Balaban VD, Cazacu IM, Pinte L, et al. EUS-through-the-needle microbiopsy forceps in pancreatic cystic lesions: a systematic review. Endosc Ultrasound. 2021;10:19.
  • Facciorusso A, Del Prete V, Antonino M, et al. Diagnostic yield of EUS-guided through-the-needle biopsy in pancreatic cysts: a meta-analysis. Gastrointest Endosc. 2020;92:1–8.e3.
  • Tacelli M, Celsa C, Magro B, et al. Diagnostic performance of endoscopic ultrasound through-the-needle microforceps biopsy of pancreatic cystic lesions: systematic review with meta-analysis. Dig Endosc. 2020;32:1018–1030.
  • Ge N, Brugge WR, Saxena P, et al. An international, multi-institution survey of the use of EUS in the diagnosis of pancreatic cystic lesions. Endosc Ultrasound. 2019;8:418–427.
  • Crinò SF. Through-the-needle microforceps biopsy: a powerful tool but for selected patients. Endoscopy. 2021;53:53–54.
  • Crinò SF, Bernardoni L, Gabbrielli A, et al. Beyond pancreatic cyst epithelium: evidence of ovarian-like stroma in EUS-guided through-the-needle micro-forceps biopsy specimens. Am J Gastroenterol. 2018;113:1059–1060.
  • Facciorusso A, Crinò SF, Tacelli M, et al. Chronic use of statins and risk of post-endoscopic retrograde cholangiopancreatography pancreatitis: a systematic review and meta-analysis. Expert Rev Gastroenterol Hepatol. 2021;15:195–202.
  • Akshintala VS, Sperna Weiland CJ, Bhullar FA, et al. Non-steroidal anti-inflammatory drugs, intravenous fluids, pancreatic stents, or their combinations for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis: a systematic review and network meta-analysis. Lancet Gastroenterol Hepatol. 2021;6(9):733–742.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.