Pancreatic Neoplasm Clinical Trial
Official title:
Randomized Trial Comparing Fine Needle Biopsy and Fine Needle Aspiration Needles for Endoscopic Ultrasound -Guided Sampling of Solid Pancreatic Masses
This is a randomized prospective clinical study comparing a fine needle biopsy device and an aspiration needle.
At EUS, once the pancreatic mass is identified, patients will be randomized to undergo
sampling using the 22G FNA or FNB needle. All patients will undergo sampling of pancreatic
masses using both needles but the needle to be used first will be based on randomization.
Subsequent passes will be performed by alternate needles and once onsite diagnosis is
established using either needle type, more passes will not be performed for onsite diagnostic
adequacy. However, a minimum of at least one pass and a maximum of 8 passes will be performed
using both needle types. The number of passes needed to achieve diagnostic adequacy using
both needles will documented.
Four dedicated passes will then be performed using the initial randomization sequence for
cell block. Two passes will be performed using each needle type and the specimen will be
preserved in formalin and sent for cell block processing.
If the doctor cannot obtain enough tissue with the study needles, another needle with a
different gauge (19 or 25) will be used. This will also be a maximum of 8 passes. Information
about the number of needles used, how many passes were performed, any problems with the
needles will be collected. If there is not enough tissue available from these passes to
establish a diagnosis, the subject will be asked to come back at another time for a repeat
procedure.
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