Diagnosis of a Solid Pseudopapillary Neoplasm Using EUS-FNA

被引:7
作者
Fujii, Masakuni [1 ]
Saito, Hiroaki [1 ]
Kato, Hironari [2 ]
Kojima, Toru [3 ]
Ito, Mamoru [1 ]
Ishiyama, Shuhei [1 ]
Fujiwara, Akiko [1 ]
Niguma, Takefumi [3 ]
Yoshioka, Masao [1 ]
Shiode, Junji [1 ]
Mimura, Tetsushige [3 ]
Yamamoto, Kazuhide [2 ]
机构
[1] Okayama Saiseikai Gen Hosp, Dept Internal Med, Okayama, Japan
[2] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gastroenterol & Hepatol, Okayama 7008530, Japan
[3] Okayama Saiseikai Gen Hosp, Dept Surg, Okayama, Japan
关键词
solid pseudopapillary neoplasm; EUS-FNA; minimized resection; FINE-NEEDLE-ASPIRATION; ENDOSCOPIC ULTRASOUND; CYTOLOGY DIAGNOSIS; CYSTIC TUMOR; PANCREAS; PAPILLARY; FEATURES; LESIONS;
D O I
10.2169/internalmedicine.52.0238
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A woman in her 50s was found to have a pancreatic mass on abdominal ultrasound. The tumor measured 40 mm in diameter and included a cystic lesion and calcification. In this case, we suspected a diagnosis of solid pseudopapillary neoplasm (SPN) due to the findings observed on various images. However, we were unable to exclude the possibility that the lesion was a neuroendocrine tumor. Therefore, we performed endoscopic ultrasound (EUS)-guided fine-needle aspiration (EUS-FNA). In addition, in order to confirm the diagnosis of SPN, we performed minimized resection (segmental pancreatectomy). Obtaining a definitive preoperative diagnosis of SPN using EUS-FNA can guide the surgical approach.
引用
收藏
页码:1703 / 1708
页数:6
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