Skip to main content
PMC home page
Gut logoLink to Gut
. 1975 Aug;16(8):645–647. doi: 10.1136/gut.16.8.645

Aspiration biopsy of carcinoma of the pancreas.

B A Shorey
PMCID: PMC1411021  PMID: 1102401

Abstract

Peroperative pancreatic aspiration biopsies were performed on 21 patients with pancreatic lesions using a standard 20-ml disposable syringe and a 21-gauge needle. No complications were recorded which could be attributed to this procedure. A further 10 aspiration biopsies were carried out on postmortem specimens in an attempt to determine the accuracy of this method in the diagnosis of carcinoma of the pancreas. It is concluded that peroperative pancreatic needle biopsy is a safe procedure which is easily performed without special instruments. In can be of enormous value to the surgeon in planning the treatment of patients with pancreatic lesions. In cases where there is an operable mass in the pancreas it offers a simple and quick method of determining the presence of malignant cells and thus definitive surgery may be performed with confidence. For the inoperable cases it offers a method of histological confirmation of the operative findings.

Full text

PDF
647

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ACKERMAN L. V., WHEAT M. W., Jr The implantation of cancer; an avoidable surgical risk. Surgery. 1955 Mar;37(3):341–355. [PubMed] [Google Scholar]
  2. BOWDEN L. The fallibility of pancreatic biopsy. Ann Surg. 1954 Apr;139(4):403–408. doi: 10.1097/00000658-195404000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Burkholder G. V., Kaufman J. J. Local implantation of carcinoma of the prostate with percutaneous needle biopsy. J Urol. 1966 Jun;95(6):801–804. doi: 10.1016/S0022-5347(17)63546-8. [DOI] [PubMed] [Google Scholar]
  4. CARLSON R. I. The problem of diagnosis at the time of operation in tumors of the head of the pancreas. Surgery. 1950 Oct;28(4):672–679. [PubMed] [Google Scholar]
  5. COTE J., DOCKERTY M. B., PRIESTLEY J. T. An evaluation of pancreatic biopsy with the Vim-Silverman needle. Arch Surg. 1959 Oct;79:588–596. doi: 10.1001/archsurg.1959.04320100054009. [DOI] [PubMed] [Google Scholar]
  6. CRILE G., Jr, HAZARD J. B. Classification of thyroiditis, with special reference to the use of needle biopsy. J Clin Endocrinol Metab. 1951 Oct;11(10):1123–1127. doi: 10.1210/jcem-11-10-1123. [DOI] [PubMed] [Google Scholar]
  7. CRILE G., Jr, VICKERY A. L. Special uses of the Silverman biopsy needle in office practice and at operation. Am J Surg. 1952 Jan;83(1):83–85. doi: 10.1016/0002-9610(52)90163-3. [DOI] [PubMed] [Google Scholar]
  8. Cattell R. B., Pyrtek L. J. An Appraisal of Pancreatoduodenal Resection: A Follow-up Study of 61 Cases. Ann Surg. 1949 Jun;129(6):840–848. [PMC free article] [PubMed] [Google Scholar]
  9. Crile G., Jr The advantages of bypass operations over radical pancreatoduodenectomy in the treatment of pancreatic carcinoma. Surg Gynecol Obstet. 1970 Jun;130(6):1049–1053. [PubMed] [Google Scholar]
  10. Engzell U., Esposti P. L., Rubio C., Sigurdson A., Zajicek J. Investigation on tumour spread in connection with aspiration biopsy. Acta Radiol Ther Phys Biol. 1971 Aug;10(4):385–398. doi: 10.3109/02841867109130784. [DOI] [PubMed] [Google Scholar]
  11. FRANZEN S., GIERTZ G., ZAJICEK J. Cytological diagnosis of prostatic tumours by transrectal aspiration biopsy: a preliminary report. Br J Urol. 1960 Jun;32:193–196. doi: 10.1111/j.1464-410x.1960.tb03763.x. [DOI] [PubMed] [Google Scholar]
  12. Forsgren L., Orell S. Aspiration cytology in carcinoma of the pancreas. Surgery. 1973 Jan;73(1):38–42. [PubMed] [Google Scholar]
  13. KIRTLAND H. B., Jr A safe method of pancreatic biopsy; a preliminary report. Am J Surg. 1951 Oct;82(4):451–457. doi: 10.1016/0002-9610(51)90372-8. [DOI] [PubMed] [Google Scholar]
  14. Martin H. E., Ellis E. B. BIOPSY BY NEEDLE PUNCTURE AND ASPIRATION. Ann Surg. 1930 Aug;92(2):169–181. doi: 10.1097/00000658-193008000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. SCHULTZ N. J., SANDERS R. J. EVALUATION OF PANCREATIC BIOPSY. Ann Surg. 1963 Dec;158:1053–1057. doi: 10.1097/00000658-196312000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Whipple A. O., Parsons W. B., Mullins C. R. TREATMENT OF CARCINOMA OF THE AMPULLA OF VATER. Ann Surg. 1935 Oct;102(4):763–779. doi: 10.1097/00000658-193510000-00023. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES