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  • Title: Intraoperative fine needle aspiration cytology of pancreas: a study of 97 cases.
    Author: Krishnamurthy SC, Soni M, Jagannath KS, DeSouza LJ.
    Journal: Indian J Gastroenterol; 1993 Jan; 12(1):14-5. PubMed ID: 8330912.
    Abstract:
    Intraoperative fine needle aspiration cytology (FNAC) for pancreatic and ampullary lesions was carried out under direct vision using transduodenal approach in 97 patients. Cytological findings were classified as follows: positive for malignancy, suspicious for malignancy, benign (normal) cells from duodenum or pancreas, inflammatory and non-representative smears. Suboptimal smears (non-representative, suspicious and inflammatory) were excluded for calculating decision analysis values. Sensitivity for malignancy was 90.5% and specificity 100%. Positive and negative predictive values were 100% and 50% respectively. We conclude that intraoperative FNAC is useful in diagnosing malignant lesions of the pancreas.
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