Endosonography with contrast medium for visualization and differential diagnosis of a pancreatic mass
Live endoscopy from the HSK Dr. Horst Schmidt Hospitals in Wiesbaden in collaboration with „Video Journal and Encyclopedia of GI Endoscopy“. Recording in the context of the Falk Symposium 185 „Interfaces and Controversies in Gastroenterology“ on October 3rd – 4th, 2012.
©2013 Elsevier. All rights reserved. Wirth the friendly assistance of Falk Foundation e.V., Freiburg.
Erwin Günther, HSK Dr. Horst-Schmidt-Kliniken Wiesbaden, Germany
This is the case of a 46-year-old patient in whom a 1 cm large intrapancreatic mass had incidentally been diagnosed by sonography 8 years previously. Since the patient had no clinical particulars, it was decided that a wait-and-see procedure with sonographic follow-up should be applied.
Here, the endosonographic visualization and characterization of the foci is shown and the differential diagnosis is discussed.
Take home messages:
- Pancreatic neuroendocrine tumors are homogeneous, well vascularized and smoothly demarcated tumors.
- The pancreatic duct proximal to the lesions is usually not dilated. A wait-and-see procedure with a sonographic follow-up examination is justified in tumors < 2 cm with typical characteristics.
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