Evidence map›Paper›PMID 37743067›Full record

ArticleClinical endoscopy2024

Comparison of 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma using endoscopic ultrasound fine-needle aspiration.

Mitsuru Okuno, Keisuke Iwata, Tsuyoshi Mukai, Yusuke Kito, Takuji Tanaka, Naoki Watanabe, Senji Kasahara, Yuhei Iwasa, Akihiko Sugiyama, Youichi Nishigaki and 5 more

Abstract read
In one paragraph

Article in Clinical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Mitsuru OkunoDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Keisuke IwataDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Tsuyoshi MukaiDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Yusuke KitoDepartment of Pathology and Translational Research, Gifu University Graduate School of Medicine, Gifu, Japan.
Takuji TanakaDepartment of Diagnostic Pathology, Gifu Municipal Hospital, Gifu, Japan.
Naoki WatanabeDepartment of Diagnostic Pathology, Gifu Municipal Hospital, Gifu, Japan.
Senji KasaharaDepartment of Hematology, Gifu Municipal Hospital, Gifu, Japan.
Yuhei IwasaDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Akihiko SugiyamaDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Youichi NishigakiDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Yuhei ShibataDepartment of Hematology, Gifu Municipal Hospital, Gifu, Japan.
Junichi KitagawaDepartment of Hematology, Gifu Municipal Hospital, Gifu, Japan.
Takuji IwashitaFirst Department of Internal Medicine, Gifu Univeristy Hospital, Gifu, Japan.
Eiichi TomitaDepartment of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan.
Masahito ShimizuFirst Department of Internal Medicine, Gifu Univeristy Hospital, Gifu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsEndoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) using a 19-gauge needle is an efficient sampling method for the diagnosis of lymphadenopathy. This study compared 19-gauge conventional and Franseen needles for the diagnosis of lymphadenopathy and classification of malignant lymphoma (ML).

methodsPatient characteristics, number of needle passes, puncture route, sensitivity, specificity, and accuracy of cytology/histology for lymphadenopathy were analyzed in patients diagnosed with lymphadenopathy by EUS-FNA using conventional or Franseen needles.

resultsBetween 2012 and 2022, 146 patients met the inclusion criteria (conventional [n=70] and Franseen [n=76]). The median number of needle passes was significantly lower in the conventional group than in the Franseen group (3 [1-6] vs. 4 [1-6], p=0.023). There were no significant differences in cytological/histological diagnoses between the two groups. For ML, the immunohistochemical evaluation rate, sensitivity of flow cytometry, and cytogenetic assessment were not significantly different in either group. Bleeding as adverse events (AEs) were observed in three patients in the Franseen group.

conclusionsBoth the 19-gauge conventional and Franseen needles showed high accuracy in lymphadenopathy and ML classification. Considering sufficient tissue collection and the avoidance of AEs, the use of 19-gauge conventional needles seems to be a good option for the diagnosis of lymphadenopathy.

Indexed as

19-gaugeEndoscopic ultrasound-guided fine-needle aspirationFranseen needleLymphadenopathyMalignant lymphoma

Identifiers

PMID37743067
PMCPMC11133993

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