{"id":4636,"date":"2019-12-10T09:00:18","date_gmt":"2019-12-10T09:00:18","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/agulhas-de-biopsia-ecoguiada-fnb\/"},"modified":"2021-08-06T20:01:07","modified_gmt":"2021-08-06T20:01:07","slug":"agulhas-de-biopsia-ecoguiada-fnb","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/agulhas-de-biopsia-ecoguiada-fnb\/","title":{"rendered":"Agulhas de bi\u00f3psia ecoguiada (FNB)"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>A <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/ag-ecoendoscopia\/\" target=\"_blank\" rel=\"noopener\">ecoendoscopia<\/a> com pun\u00e7\u00e3o aspirativa por agulha fina <strong>(FNA)<\/strong> \u00e9 o procedimento padr\u00e3o para aquisi\u00e7\u00e3o de material de les\u00f5es adjacentes ao trato gastrointestinal incluindo p\u00e2ncreas, f\u00edgado, adrenal, linfonodos e les\u00f5es subepiteliais gastrointestinais.<\/p>\n<p>Apesar de seu uso rotineiro, as taxas de acur\u00e1cia diagn\u00f3stica em les\u00f5es s\u00f3lidas pancre\u00e1ticas podem variar de 78% a 100% <sup>1<\/sup> sendo que em outras les\u00f5es como massas mediastinais e tumores estromais do trato gastrintestinal (GISTs), as taxas podem ser ainda menores.<\/p>\n<p>Essa varia\u00e7\u00e3o depende de v\u00e1rios fatores como a localiza\u00e7\u00e3o da les\u00e3o, disponibilidade da equipe de citologia para avalia\u00e7\u00e3o r\u00e1pida no local (ROSE), experi\u00eancia do ecoendoscopista, al\u00e9m do tamanho e tipo de agulha selecionada para obten\u00e7\u00e3o de tecido.<\/p>\n<p>Uma importante limita\u00e7\u00e3o da FNA \u00e9 que ela n\u00e3o fornece amostras teciduais com arquitetura preservada, o que \u00e9 muitas vezes necess\u00e1rio para imuno-histoqu\u00edmica e diagn\u00f3stico histol\u00f3gico de condi\u00e7\u00f5es como linfoma, GIST e pancreatite autoimune.<\/p>\n<p>Em um esfor\u00e7o para suplantar as limita\u00e7\u00f5es da FNA foram desenvolvidas as <strong>agulhas de bi\u00f3psia (FNB)<\/strong> que tem o objetivo de manter a arquitetura do tecido, possibilitando um maior rendimento diagn\u00f3stico.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Tipos de agulha:<\/strong><\/h5>\n<p>&nbsp;<\/p>\n<p><strong>Primeira gera\u00e7\u00e3o FNB (&gt; 10 anos):<\/strong><\/p>\n<ul>\n<li>Exemplo: Quick-core Trucut &#x2122;<\/li>\n<li>Aus\u00eancia de vantagens significativas comparada a FNA, exceto em pancreatite autoimune e linfoma. Pouca flexibilidade da agulha, baixa ergonomia<sup>2<\/sup>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Segunda gera\u00e7\u00e3o FNB<\/strong><\/p>\n<ul>\n<li>Exemplo: <strong><em><a href=\"https:\/\/www.cookmedical.com\/products\/esc_echoc_webds\/\">ProCore<\/a> <\/em><\/strong>&#x2122; (Cook) &#8211; bisel reverso<\/li>\n<li>Aparente melhor resultado diagn\u00f3stico por\u00e9m estatisticamente n\u00e3o significativo (<em>p<\/em>=0,23). Menor n\u00famero de pun\u00e7\u00f5es para rendimento macrosc\u00f3pico adequado<sup>3<\/sup>.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Figura-1.tiff\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-10087\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Figura-1.tiff\" alt=\"\" width=\"296\" height=\"222\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.cookmedical.com\/products\/esc_echoc_webds\/\">Figura 1: <strong><em>ProCore<\/em> <\/strong>&#x2122; (bisel reverso)<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Terceira gera\u00e7\u00e3o FNB<\/strong><\/p>\n<ul>\n<li>Exemplos: Sharkcore &#x2122;, <strong><a href=\"https:\/\/www.bostonscientific.com\/en-US\/products\/needles\/acquire-endoscopic-ultrasound-fine-needle.html\"><em>Acquire<\/em>&#x2122;<\/a><\/strong> e <strong><em><a href=\"https:\/\/www.cookmedical.com\/products\/esc_echoc_webds\/\">Procore<\/a><\/em>&#x2122;<\/strong> (bisel frontal):<\/li>\n<li>Comparada com FNA, as amostras teciduais obtidas com FNB tem maior rendimento diagn\u00f3stico e podem potencialmente evitar a necessidade de ROSE levando a uma diminui\u00e7\u00e3o de custo e tempo<sup>4<\/sup>.<\/li>\n<li>Esse melhor resultado \u00e9 encontrado inclusive nas les\u00f5es subepiteliais. Comparado com a FNA, a FNB apresentou melhor aquisi\u00e7\u00e3o de tecido histologicamente adequado (64,8% vs 100%), melhor rendimento diagn\u00f3stico (52,7% vs 86,7%)<sup>5<\/sup>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/figura-3.1.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-10096\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/figura-3.1.jpg\" alt=\"\" width=\"295\" height=\"142\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.bostonscientific.com\/en-US\/products\/needles\/acquire-endoscopic-ultrasound-fine-needle.html\">Figura 2: <strong><em>Acquire<\/em><\/strong>&#x2122;<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Figura-4.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-10091\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Figura-4.jpg\" alt=\"\" width=\"293\" height=\"220\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.cookmedical.com\/products\/esc_echoc_webds\/\">Figura 3: <strong><em>ProCore<\/em> <\/strong>&#x2122; (bisel frontal)<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Em um recente estudo prospectivo multic\u00eantrico com 608 pacientes, a Procore&#x2122; (bisel frontal) superou a agulha FNA em termos de rendimento histol\u00f3gico (77% vs 44%, <em>p<\/em> &lt; 0,001) e precis\u00e3o diagn\u00f3stica de malignidade (87% vs 78%, <em>p<\/em>=.002)<sup>6<\/sup>.<\/p>\n<p>Comparando a Sharcore e Acquire com a FNA, um grande estudo retrospectivo com 3.020 paciente observou taxa de diagn\u00f3stico superior para FNB no emblocado em formol de 92.3 % vs. 71.1%, (<em>p<\/em>&lt;0.001)<sup>7<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>N\u00famero de pun\u00e7\u00f5es<\/strong><\/h5>\n<p>Quando avaliamos o n\u00famero de pun\u00e7\u00f5es para atingir diagn\u00f3stico, as agulhas FNB tamb\u00e9m apresentam melhores resultados. Quando ambas as pun\u00e7\u00f5es s\u00e3o realizadas com aux\u00edlio de ROSE, a FNB necessitada de apenas 1 pun\u00e7\u00e3o enquanto a FNA necessita de 2 para adequabilidade da amostra<sup>3<\/sup>.<\/p>\n<p>Na indisponibilidade do ROSE, a maioria dos estudos sugerem a realiza\u00e7\u00e3o de duas pun\u00e7\u00f5es com FNB e entre tr\u00eas a quatro com FNA<sup>8;<\/sup> 9.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Valores<\/strong><\/h5>\n<p>As agulhas FNB custam em m\u00e9dia de 50 a 60% acima das agulhas de FNA. Por\u00e9m mesmo com essa diferen\u00e7a de pre\u00e7o, um atraso do diagn\u00f3stico associado as despesas extras na repeti\u00e7\u00e3o do exame, poderiam ser muito mais dispendiosos ao sistema.<\/p>\n<p>Al\u00e9m do que, apesar de n\u00e3o ser comum em nossa realidade, as FNB poderiam dispensar a realiza\u00e7\u00e3o do ROSE o que diminuiria ainda mais os custos do procedimento.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Conclus\u00e3o<\/strong><\/h5>\n<p>Dado a consist\u00eancia das evid\u00eancias, parece que as agulhas FNB devem ser usadas preferencialmente para pun\u00e7\u00e3o ecoguiada de todas as les\u00f5es s\u00f3lidas, tendo em vista seu alto rendimento diagn\u00f3stico e possibilidade de avalia\u00e7\u00e3o da arquitetura do tecido.<\/p>\n<p>No futuro, o papel das agulhas FNA, pode ser relegado \u00e0 aspira\u00e7\u00e3o de cistos, passagem de fios-guia durante procedimentos de interven\u00e7\u00e3o e para centros onde o custo ainda pode ser uma limita\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias:<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><sup>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>ITOI, T.\u00a0 et al. Current status of diagnostic endoscopic ultrasonography in the evaluation of pancreatic mass lesions. Dig Endosc, v. 23 Suppl 1, p. 17-21, May 2011. ISSN 1443-1661. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21535194\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21535194<\/a> &gt;.<\/p>\n<p><sup>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>THOMAS, T.\u00a0 et al. Efficacy, safety, and predictive factors for a positive yield of EUS-guided Trucut biopsy: a large tertiary referral center experience. Am J Gastroenterol, v. 104, n. 3, p. 584-91, Mar 2009. ISSN 1572-0241. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19262518\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19262518<\/a> &gt;.<\/p>\n<p><sup>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>BANG, J. Y.; HAWES, R.; VARADARAJULU, S. A meta-analysis comparing ProCore and standard fine-needle aspiration needles for endoscopic ultrasound-guided tissue acquisition. Endoscopy, v. 48, n. 4, p. 339-49, Apr 2016. ISSN 1438-8812. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26561917\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26561917<\/a> &gt;.<\/p>\n<p><sup>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>KHAN, M. A.\u00a0 et al. A meta-analysis of endoscopic ultrasound-fine-needle aspiration compared to endoscopic ultrasound-fine-needle biopsy: diagnostic yield and the value of onsite cytopathological assessment. Endosc Int Open, v. 5, n. 5, p. E363-E375, May 2017. ISSN 2364-3722. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28497108\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28497108<\/a> &gt;.<\/p>\n<p><sup>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>EL CHAFIC, A. H.\u00a0 et al. Comparison of FNA and fine-needle biopsy for EUS-guided sampling of suspected GI stromal tumors. Gastrointest Endosc, v. 86, n. 3, p. 510-515, Sep 2017. ISSN 1097-6779. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28131864\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28131864<\/a> &gt;.<\/p>\n<p><sup>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>VAN RIET, P. A.\u00a0 et al. A multicenter randomized trial comparing a 25-gauge EUS fine-needle aspiration device with a 20-gauge EUS fine-needle biopsy device. Gastrointest Endosc, v. 89, n. 2, p. 329-339, 02 2019. ISSN 1097-6779. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30367877\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30367877<\/a> &gt;.<\/p>\n<p><sup>7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>BANG, J. Y.\u00a0 et al. In memoriam: Fine-needle aspiration, birth: Fine-needle biopsy: The changing trend in endoscopic ultrasound-guided tissue acquisition. Dig Endosc, v. 31, n. 2, p. 197-202, Mar 2019. ISSN 1443-1661. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30256458\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30256458<\/a> &gt;.<\/p>\n<p><sup>8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>JEONG, S. H.\u00a0 et al. High-resolution endoscopic ultrasound imaging and the number of needle passages are significant factors predicting high yield of endoscopic ultrasound-guided fine needle aspiration for pancreatic solid masses without an on-site cytopathologist. Medicine (Baltimore), v. 96, n. 2, p. e5782, Jan 2017. ISSN 1536-5964. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28079803\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28079803<\/a> &gt;.<\/p>\n<p><sup>9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/sup>KANDEL, P.\u00a0 et al. EUS-guided fine needle biopsy sampling using a novel fork-tip needle: a case-control study. Gastrointest Endosc, v. 84, n. 6, p. 1034-1039, Dec 2016. ISSN 1097-6779. Dispon\u00edvel em: &lt; <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27018087\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27018087<\/a> &gt;.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; A ecoendoscopia com pun\u00e7\u00e3o aspirativa por agulha fina (FNA) \u00e9 o procedimento padr\u00e3o&hellip;<\/p>\n","protected":false},"author":2592,"featured_media":4612,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[],"tipo":[154],"volume":[],"class_list":["post-4636","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tipo-ecoendoscopia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Agulhas de bi\u00f3psia ecoguiada (FNB) &#8226; 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