Table 3.
20G ProCore™ performance on pancreatic lesions
20G PC performance | Pancreatic lesions (n=236) |
---|---|
Age (years), mean±SD | 68.3±11.8 |
Number of passes, mean±SD | 2.8±1.0 |
Lesion site, n (%) | |
Pancreatic head and uncinated process | 150 (63.6) |
Pancreatic body | 64 (27.1) |
Pancreatic tail | 22 (9.3) |
Possibility to obtain histological core, n (%) | 170 (72.0) |
Possibility to draw histological/cytological diagnosis from tissue sample (diagnostic yield), n (%) | 218 (92.4) |
Diagnosis at EUS vs. gold standard diagnosis type, n | |
Malignant lesion | 197/217 |
Benign lesion | 21/19* |
No sample or inadequate sample | 18 |
20G PC diagnostic performance for malignant lesions, % (95% CI) | |
Overall accuracy | 91.5 (87.2–94.7) |
Sensitivity | 90.8 (86.1–94.3) |
Specificity | 100 (82.4–100) |
PPV | 100 (98.1–100) |
NPV | 48.7 (32.4–65.2) |
NND | 1.1 (1.1–1.5) |
NNM | 11.8 (7.8–18.9) |
20G PC-related complications, n(%) | |
Bleeding | 1 (0.4) |
Pain | 1 (0.4) |
*Two lesions were incorrectly diagnosed as benign at EUS-guided sampling, while were found to be malignant. PC: ProCore™, PPV: Positive predictive value, NPV: Negative predictive value, NNM: Number needed to misdiagnose, NND: Number needed to diagnose, CI: Confidence interval, EUS: Endoscopic ultrasound, SD: Standard deviation