Comparison of Fine-Needle Biopsy (FNB) versus Fine-Needle Aspiration (FNA) Combined with Flow Cytometry in the Diagnosis of Deep-Seated Lymphoma
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients Enrollment
2.2. EUS-FNB/FNA Procedure
2.3. Immunohistochemistry
2.4. Flow Cytometry
2.5. Specimen Evaluation
2.6. Outcomes
2.7. Statistical Analysis
3. Results
3.1. Baseline Data and Lesion Characteristics of Patients
3.2. Characteristics of Needle and Sampling
3.3. Diagnostic Accuracy
3.4. Multivariate Logistic Regression
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | FNB (n = 23) | FNA (n = 30) | p-Value |
---|---|---|---|
Age, years (SD) | 54.70 (17.47) | 51.87 (16.62) | 0.479 |
Sex, male/female | 12/11 | 13/17 | 0.359 |
Puncture site, n (%) | 0.604 | ||
Mediastinum | 1 (4.35%) | 2 (6.70%) | |
Retroperitoneum | 20 (86.96%) | 23 (76.7%) | |
Pancreas | 2 (8.70%) | 3 (10.00%) | |
GI tract | 0 (0.00%) | 2 (6.70%) | |
Lesion size r, mm (SD) | 38.12 (20.45) | 30.90 (17.75) | 0.176 |
Needle size, n (%) | <0.001 *** | ||
20 gauge | 18 (78.26%) | 0 (0.00%) | |
22 gauge | 5 (21.74%) | 29 (96.70%) | |
25 gauge | 0 (0.00%) | 1 (2.00%) | |
No. passes, median (quartile) | 4 (3, 5) | 4 (3, 6) | 0.365 |
Subtype | 1.000 | ||
NHL | 22 (95.65%) | 29 (96.70%) | |
B cell lymphoma | 20 (86.96%) | 25 (83.40%) | |
Diffuse large B-cell lymphoma | 14 (60.87%) | 15 (50.00%) | |
Follicular lymphoma | 2 (18.70%) | 2 (6.70%) | |
Mantle cell lymphoma | 1 (4.35%) | 0 (0.00%) | |
Marginal zone lymphoma | 1 (4.35%) | 3 (10.00%) | |
Unclassifiable | 2 (8.70%) | 5 (16.70%) | |
T cell lymphoma | 2 (8.70%) | 4 (13.20%) | |
Anaplastic large cell lymphoma | 1 (4.35%) | 1 (3.30%) | |
γδT-cell lymphoma | 0 (0.00%) | 1 (3.30%) | |
Small lymphocytic Lymphoma | 0 (0.00%) | 1 (3.30%) | |
peripheral T cell lymphomas | 1 (4.35%) | 1 (3.30%) | |
HL | 1 (4.35%) | 1 (3.30%) |
FNB (n = 23) | FNA (n = 30) | p-Value | |
---|---|---|---|
Core tissue length, mm (quartile) | 0.80 (0.55, 1.00) | 0.45 (0.30, 0.50) | 0.009 ** |
Score of specimen adequacy, median (quartile) | 4 (3.75, 4.00) | 3 (1.00, 4.00) | 0.025 * |
FNB (n = 23) | FNA (n = 30) | OR (95% CI) | p-Value | |
---|---|---|---|---|
No. of cases consistent with final diagnosis by IHC, n (%) | 21 (91.30%) | 18 (60.00%) | 7.000 (1.380–35.511) | 0.013 * |
No. of cases consistent with final diagnosis by IHC+ FCM, n (%) | 22 (95.65%) | 29 (96.70%) | 0.759 (0.045–12.812) | 1.000 |
Variable | Univariate Logistic Regression | Multivariate Logistic Regression | ||||
---|---|---|---|---|---|---|
Exp (b) | OR (95% CI) | p-Value | Exp (b) | OR (95% CI) | p-Value | |
Needle type (FNB vs. FNA) | 7.000 | 1.630–48.960 | 0.019 * | 1.292 | 1.037–1.609 | 0.023 * |
Needle size | 0.384 | 0.120–0.855 | 0.042 * | - | - | - |
Lesion site | 0.746 | 0.283–1.745 | 0.515 | - | - | - |
Lesion size | 8.750 | 2.101–42.035 | 0.004 ** | 1.518 | 1.161–1.985 | 0.003 ** |
Endoscopists | 2.917 | 0.821–12.133 | 0.112 | - | - | - |
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Yang, Y.; Aruna; Cheng, B.; Xiong, D.; Kuang, D.; Cui, H.; Xiong, S.; Mao, X.; Feng, Y.; Zhao, Y. Comparison of Fine-Needle Biopsy (FNB) versus Fine-Needle Aspiration (FNA) Combined with Flow Cytometry in the Diagnosis of Deep-Seated Lymphoma. Diagnostics 2023, 13, 2777. https://doi.org/10.3390/diagnostics13172777
Yang Y, Aruna, Cheng B, Xiong D, Kuang D, Cui H, Xiong S, Mao X, Feng Y, Zhao Y. Comparison of Fine-Needle Biopsy (FNB) versus Fine-Needle Aspiration (FNA) Combined with Flow Cytometry in the Diagnosis of Deep-Seated Lymphoma. Diagnostics. 2023; 13(17):2777. https://doi.org/10.3390/diagnostics13172777
Chicago/Turabian StyleYang, Yilei, Aruna, Bin Cheng, Dingkun Xiong, Dong Kuang, Haochen Cui, Si Xiong, Xia Mao, Yunlu Feng, and Yuchong Zhao. 2023. "Comparison of Fine-Needle Biopsy (FNB) versus Fine-Needle Aspiration (FNA) Combined with Flow Cytometry in the Diagnosis of Deep-Seated Lymphoma" Diagnostics 13, no. 17: 2777. https://doi.org/10.3390/diagnostics13172777