Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/148922
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Martín Cardona, Albert | - |
dc.contributor.author | Fernández Esparrach, Glòria | - |
dc.contributor.author | Subtil, J. C. | - |
dc.contributor.author | Iglesias García, J. | - |
dc.contributor.author | García Guix, Marta | - |
dc.contributor.author | Barturen Barroso, A. | - |
dc.contributor.author | Gimeno García, A. Z. | - |
dc.contributor.author | Esteban, J. M. | - |
dc.contributor.author | Pardo Balteiro, A. | - |
dc.contributor.author | Velasco Guardado, A. | - |
dc.contributor.author | Vázquez-Sequeiros, Enrique | - |
dc.contributor.author | Loras Alastruey, Carme | - |
dc.contributor.author | Martínez Moreno, B. | - |
dc.contributor.author | Castellot, A. | - |
dc.contributor.author | Huertas, Carlos | - |
dc.contributor.author | Martínez Lapiedra, M. | - |
dc.contributor.author | Sánchez Yagüe, Andrés | - |
dc.contributor.author | Terán, A. | - |
dc.contributor.author | Morales Alvarado, Víctor Jair | - |
dc.contributor.author | Betes, M. | - |
dc.contributor.author | Iglesia, D. de la | - |
dc.contributor.author | Sánchez Montes, Cristina | - |
dc.contributor.author | Lozano, Maria Dolores | - |
dc.contributor.author | Lariño Noia, J. | - |
dc.contributor.author | Ginés, A. | - |
dc.contributor.author | Tebé, Cristian | - |
dc.contributor.author | Gornals Soler, Joan B. | - |
dc.contributor.author | Spanish Group for EUS-Guided TA in the adrenal gland | - |
dc.date.accessioned | 2020-01-29T15:06:46Z | - |
dc.date.available | 2020-01-29T15:06:46Z | - |
dc.date.issued | 2019-06-06 | - |
dc.identifier.issn | 1932-6203 | - |
dc.identifier.uri | http://hdl.handle.net/2445/148922 | - |
dc.description.abstract | Background: There are limited data about the role of endoscopic ultrasound-guided tissue acquisition (EUS-TA), by fine needle aspiration (EUS-FNA) or biopsy (EUS-FNB), in the evaluation of the adrenal glands (AG). The primary aim was to assess the diagnostic yield and safety. The secondary aims were the malignancy predictors, and to create a predictive model of malignancy. Methods: This was a retrospective nationwide study involving all Spanish hospitals experienced in EUS-TA of AGs. Inclusion period was from April-2003 to April-2016. Inclusion criteria: all consecutive cases that underwent EUS-TA of AGs. EUS and cytopathology findings were evaluated. Statistical analyses: diagnostic accuracy of echoendoscopist's suspicion using cytology by EUS-TA, as gold standard; multivariate logistic regression model to predict tumor malignancy. Results: A total of 204 EUS-TA of AGs were evaluated. Primary tumor locations were lung70%, others19%, and unknown11%. AG samples were adequate for cytological diagnosis in 91%, and confirmed malignancy in 60%. Diagnostic accuracy of the endosonographer's suspicion was 68%. The most common technique was: a 22-G (65%) and cytological needle (75%) with suction-syringe (66%). No serious adverse events were described. The variables most associated with malignancy were size>30mm (OR2.27; 95%CI, 1.16-4.05), heterogeneous echo-pattern (OR2.11; 95%CI, 1.1-3.9), variegated AG shape (OR2.46; 95%CI, 1-6.24), and endosonographer suspicion (OR17.46; 95%CI, 6.2-58.5). The best variables for a predictive multivariate logistic model of malignancy were age, sex, echo-pattern, and AG-shape. Conclusions: EUS-TA of the AGs is a safe, minimally invasive procedure, allowing an excellent diagnostic yield. These results suggest the possibility of developing a pre-EUS procedure predictive malignancy model. | - |
dc.format.extent | 16 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Public Library of Science (PLoS) | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0216658 | - |
dc.relation.ispartof | PLoS One, 2019, vol. 14, num. 6, p. e0216658 | - |
dc.relation.uri | https://doi.org/10.1371/journal.pone.0216658 | - |
dc.rights | cc-by (c) Martín Cardona, Albert et al., 2019 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Diagnòstic | - |
dc.subject.classification | Càncer | - |
dc.subject.classification | Endoscòpia | - |
dc.subject.other | Diagnosis | - |
dc.subject.other | Cancer | - |
dc.subject.other | Endoscopy | - |
dc.title | EUS-guided tissue acquisition in the study of the adrenal glands: Results of a nationwide multicenter study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 690471 | - |
dc.date.updated | 2020-01-29T15:06:46Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 31170163 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
690471.pdf | 1.33 MB | Adobe PDF | View/Open |
This item is licensed under a
Creative Commons License