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DOI: 10.1055/s-0042-1745179
EUS-GUIDED FIDUCIAL MARKERS IMPLANTATION FOR PRECISE LOCALIZATION OF PANCREATIC NET
A 73-year-old man was referred with weight loss and newly diagnosed diabetes. Abdominal CT and MRI scans showed non-specific enlarged pancreatic body without focal lesions. Conversely, EUS revealed a 21×17mm irregular, well-defined lesion within the pancreatic body, with hypoechoic capsule and intense enhancement after contrast medium injection, suspicious for a NET, in a context of chronic pancreatitis. FNB and histological examination confirmed the diagnosis of NET. To facilitate NET localization during surgery, we performed EUS-guided fiducial marker implantation. Fiducial marker visualization on intraoperative ultrasound scan aided the precise localization of the pancreatic NET, and successful distal splenopancreasectomy was performed.
Publication History
Article published online:
14 April 2022
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