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Diagnostic value of cytology for biliary stricture.
Department of Surgery, Royal Free Hospital and Medical School, London, UK.
Over the past 20 years, bile aspiration at endoscopic retrograde cholangiopancreatography or percutaneous transhepatic cholangiography has been developed for cytological diagnosis of biliary tract stricture. This safe and specific test has allowed a diagnosis to be reached before or without operation in about one-third of malignancies of the pancreas or biliary tree. The recent development of biliary brush cytology has produced better results. An endobiliary biopsy forceps is now available that may allow safe sampling of lesions causing extrinsic compression of the biliary tract. An endobiliary aspiration cytology needle has been produced that may permit non-ulcerating lesions to be diagnosed. A safe alternative to endobiliary methods is percutaneous fine-needle aspiration cytology; this yields a diagnosis in about half of patients presenting with obstructive jaundice and an imaged mass lesion.
PMID: 8495300 [PubMed - indexed for MEDLINE]
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Cited by 4 PubMed Central articles
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Biliary brush cytology: factors associated with positive yields on biliary brush cytology.
Mahmoudi N, Enns R, Amar J, AlAli J, Lam E, Telford J.
World J Gastroenterol. 2008 Jan 28; 14(4):569-73.
[World J Gastroenterol. 2008]
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Guidelines for the management of patients with pancreatic cancer periampullary and ampullary carcinomas.
Pancreatric Section, British Society of Gastroenterology, Pancreatic Society of Great Britain and Ireland, Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, Royal College of Pathologists, Special Interest Group for Gastro-Intestinal Radiology.
Gut. 2005 Jun; 54 Suppl 5:v1-16.
[Gut. 2005]
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Brush cytology in the assessment of pancreatico-biliary strictures: a review of 406 cases.
Stewart CJ, Mills PR, Carter R, O'Donohue J, Fullarton G, Imrie CW, Murray WR.
J Clin Pathol. 2001 Jun; 54(6):449-55.
[J Clin Pathol. 2001]
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