Korean Journal of Gastrointestinal Endoscopy 2001;23(3): 159-163.
악성 담도협착증에서 내시경적 쇄자세포진 검사의 진단적 유용성 ( Usefulness of Endoscopic Brush Cytology from malignant Biliary Obstruction )
박병헌(Byeong Heen Park),동석호(Seok Ho Dong),이병욱(Byoung Wook Lee),황유철(You Cheol Hwang),김수영(Su Young Kim),이동근(Dong Gun Lee),김효종(Hyo Jong Kim),김병호(Byung Ho Kim),장영운(Young Woon Chang),장린(Rin Chang)
Abstract
Backgrounds/Aims: In patients with obstructive jaundice due to malignant biliary tract stricture, a tissue diagnosis is essential because the various treatment options are available. The tissue biopsy form the biliary tree is difficult because of the focal, sclerotic, small annular nature and lower celluarity. Brush cytology is and effective method for obtaining a tissue from bile duct stricture, and the diagnostic sensitivity of endoscopic brush cytology is reported as between 40% and 70% form malignant bile duct strictures. In this study, we analyzed the diagnostic value of endoscopic brush cytology in patient with extrahepatic bile duct strictures. Methods: The eight patients with extrahepatic bile duct strictures diagnosed with endoscopic retrograde cholangiopancretography underwent endoscopic brush cytology and aspiration bile cytology. Brushing were taken using a Greenen cytology brush passed with a guide wire through the stricture. Results: The final diagnoses were made by surgical pathology and clinical follow-up. The sensitivity of brush cytology (62.5%, 5/8) was significantly higher than the sensitivity of bile cytology (0%; 0/8). No procedure related complication occurred. Conclusions: Endoscopic brush cytology would be an effective and a relatively safe method for tissue diagnosis in patients with malignant biliary obstruction.