Endoscopy 2022; 54(S 01): S48
DOI: 10.1055/s-0042-1744657
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
08:30–09:30 Friday, 29 April 2022 Club A. Role of EUS in detecting malignancy in pancreatic cystic lesions

EUS, CH-EUS, FNA AND FNB OF DEGENERATED IPMN

A. Mauriello
1   Gastroenterology Department, Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
,
F. Castellano
1   Gastroenterology Department, Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
,
M. Sacco
1   Gastroenterology Department, Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
,
F. Fimiano
1   Gastroenterology Department, Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
,
M. Gesualdo
1   Gastroenterology Department, Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
,
G.M. Benazzo
2   Patology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
,
C.G. De Angelis
1   Gastroenterology Department, Endoscopy Unit, AOU Città della Salute e della Scienza di Torino, Turin, Italy
› Author Affiliations
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This video presents the case of 57-year-old woman with onset of epigastric pain with posterior irradiation, dyspepsia, asthenia and recent weight loss; blood test detected high serum level of Carbohydrate antigen 19-9 (5148 U/ml) without alteration of serum amylase and lipase; on the other hand, abdominal CT showed multiple pancreatic cysts with pancreatic atrophy and no clear masses. EUS-FNA and EUS-FNB were performed obtaining the diagnosis of adenocarcinoma cells in a context of necrotic tissue. The final diagnosis was IPMN degenerated with a vascular infiltration. Due to vascular infiltration, a chemotherapy regimen was started.



Publication History

Article published online:
14 April 2022

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