The usefulness of the through-the-needle’s diagnostic techniques in a case of an undefined pancreatic cyst

Abstract Text A 69 years-old-man after the onset of epigastric pain underwent MRI. In the head of pancreas a cystic lesion with septa and size of 57 mm was discovered; the cyst had a solid component in anterior wall with uncommon contrast enhancement; other small cysts were visible. The suspicion was a degenerated IPMN versus serous cystadenoma.Consequently, an EUS with 22-G FNA needle was performed in another center, but it was not diagnostic. Then, we decided to perform a new EUS with FNA+through-the-needle biopsy (TTNB) and confocal laser endomicroscopy needle-based (nCLE).The final diagnosis was a cystic pancreatic neuroendocrine tumor, and the patient is now waiting for surgery.

Publication History

Article published online:
14 April 2023