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Journal
2020 | 10 | 3 | 103-107
Article title

Endoscopic ultrasound for differential diagnosis of malignant pancreatic cystic lesions: case report and review of literature

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EN
Abstracts
EN
A 63-year-old female patient was admitted to the hospital for an in-depth diagnosis of accidentally found pancreatic cystic lesion. The lesion was detected by computed tomography scan and magnetic resonance imaging of the abdomen and identified as potentially malignant mucinous cystic neoplasm (MCN). Endoscopic ultrasound-guided fine-needle aspiration biopsy with the analysis of the fluid from the cyst was performed as well and it confirmed the malignancy of the cystic lesion. The patient was qualified for surgery and the final diagnosis based on histopathological examination of the surgical material confirmed MCN with the accompanying invasive pancreatic adenocarcinoma.
Discipline
Publisher
Journal
Year
Volume
10
Issue
3
Pages
103-107
Physical description
Contributors
  • 1. Department of Internal Medicine and Gastroenterology, Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland. 2. Department of Cardiology and Internal Medicine, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland
  • 1. Department of Internal Medicine and Gastroenterology, Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland. 2. Department of Cardiology and Internal Medicine, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland
  • Department of Internal Medicine and Gastroenterology, Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland
  • 1. Department of Radiology, Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland. 2. Department of Radiology, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland
  • 1. Department of Pathomorphology, Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland. 2. Department of Pathomorphology, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland
  • 1. Clinic of Surgical Oncology Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland. 2. Department of Oncology, University of Warmia and Mazury, Olsztyn, Poland
  • 1. Department of Internal Medicine and Gastroenterology, Warmian-Masurian Cancer Center of The Ministry of The Interior and Administration’s Hospital, Olsztyn, Poland. 2. Department of Pulmonology, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland
References
  • 1. Hawes RH, Fockenes P. Endosonography. Saunders Elsevier. 2006.
  • 2. Khalid A, Brugge W. ACG practice guidelines for the diagnosis and management of neoplastic pancreatic cysts. Am I Gastroenterol. 2007; 102(10): 2339-49.
  • 3. Linder JD, Geenen JE, Catalano MF. Cyst fluid analysis obtained by EUS-guided FNA in the evaluation of discrete cystic neoplasms of the pancreas: a prospective single-center experience. Gastrointest Endosc. 2006; 64(5): 697-702.
  • 4. Emerson RE, Randolph, Cramer HM. Endoscopic ultrasound-guided fine-needle aspiration cytology diagnosis of intraductal papillary mucinous neoplasm of the pancreas is highly predictive of pancreatic neoplasia. Diagn Cytopathol. 2006; 34(7): 457-62.
  • 5. Al-Rashdan A, Schmidt CM, Al-Haddad M et al. Fluid analysis prior to surgical resection of suspected mucinous pancreatic cysts. A single centre experience. J Gastrointest Oncol. 2011; 2(4): 208-14.
  • 6. Bishop Pitman M, Lewandrowski K, Shen J et al. Pancreatic cysts: preoperative diagnosis and clinical management. Cancer Cytopathol. 2010; 118(1): 1-13. https://doi.org/10.1002/cncy.20059.
  • 7. Levy P, Rebours V. The Role of Endoscopic Ultrasound in the Diagnosis of Cystic Lesions of the Pancreas. Visc Med. 2018; 34(3): 192-6. https://doi.org/10.1159/000489242.
  • 8. Farrell JJ. Pancreatic cysts and guidelines. Dig Dis Sci. 2017; 62: 1827-39.
  • 9. Bishop Pitman M. Revised international consensus guidelines for the management of patients with mucinous cysts. Cancer Cytopathol. 2012; 120(6): 361-5. https://doi.org/10.1002/cncy.21235.
  • 10. Laffan TA, Horton KM, Klein AP et al. Prevalence of unsuspected pancreatic cysts on MDCT. Am J Roentgenol. 2008; 191: 802-7.
  • 11. de Jong K, Nio CY, Hermans JJ et al. High prevalence of pancreatic cysts detected by screening magnetic resonance imaging examinations. Clin Gastroenterol Hepatol. 2010; 8: 806-11.
  • 12. Lee KS, Sekhar A, Rofsky NM. et al. Prelegence of Incidental Pancreatic Cysts in the Adult Population on MR Imaging; Am J Gastroenterol. 105(9): 2079-84.
Document Type
article
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Identifiers
YADDA identifier
bwmeta1.element.psjd-a1841a46-1747-44be-b740-e636de816f2c
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