| Autor: |
Ardengh JC; Department of Anatomy and Surgery, Hospital das Clínicas, Medical School of Ribeirão Preto University of São Paulo. São Paulo, Brazil; Pathological Laboratory Diagnostika, Department of Endoscopy Hospital 9 de Julho. São Paulo, Brazil., Venco F; Pathological Laboratory Diagnostika, Department of Endoscopy Hospital 9 de Julho. São Paulo, Brazil., Micelli-Neto O; Department of Anatomy and Surgery, Hospital das Clínicas, Medical School of Ribeirão Preto University of São Paulo. São Paulo, Brazil., Taglieri E; Department of Anatomy and Surgery, Hospital das Clínicas, Medical School of Ribeirão Preto University of São Paulo. São Paulo, Brazil., Teixeira Orsini E; Department of Anatomy and Surgery, Hospital das Clínicas, Medical School of Ribeirão Preto University of São Paulo. São Paulo, Brazil., Kemp R; Endoscopy Service, Hospital Heliópolis. São Paulo, Brazil., Dos Santos JS; Endoscopy Service, Hospital Heliópolis. São Paulo, Brazil., Valdivia López KA; Endoscopy Service, Hospital Heliópolis. São Paulo, Brazil. |
| Abstrakt: |
Pancreatic intraepithelial neoplasia (PanIN) is considered a pre-malignant lesion difficult to identify by imaging methods. EUSFNA is an effective technique to obtain material for histopathological study of pancreatic cystic tumors, but it is not free of adverse events. We report a case of a 56 years old patient, with chronic abdominal pain (early 1994). MRI showed pancreatic cystic images. The etiologic diagnosis was doubtful and EUS-FNA was performed. Immediately after a FNA, patient had an episode of acute pancreatitis, requiring hospitalization. During one year after FNA he had five episodes of AP. A new EUS suspected of PanIN, which was confirmed by surgery. After surgery the patient is well and has no more episodes of AP. Although the risk of AP, EUS-FNA should be performed to determine the best treatment for these patients with chronic abdominal pain who have cystic changes of pancreatic gland. |
