| Autor: |
Masataka, Yokode, Hideyuki, Shiomi, Ryosuke, Itai, Sakae, Mikami, Yukimasa, Yamashita, Ryota, Nakano, Takeshi, Ezaki, Atsuhiro, Masuda, Yoh, Zen |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology. 115(6) |
| ISSN: |
0446-6586 |
| Popis: |
A referring hospital diagnosed a 57-year-old man with a pancreatic head mass. The initial endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) was inconclusive because of the small sample size. Endoscopic ultrasonography elastography (EUS-EG) and contrast-enhanced harmonic endoscopic ultrasonography (CE-EUS), conducted at our institute, raised the possibility of mass-forming pancreatitis or autoimmune pancreatitis (AIP). A repeat EUS-FNA revealed inflammatory changes, including a neutrophilic duct injury suggestive of type 2 AIP. The pancreatic lesion responded well to the steroid therapy. The present case suggests that EUS-EG and CE-EUS may be useful for diagnostic exclusion of pancreatic cancers, and the combined use of EUS-EG and CE-EUS, with EUS-FNA, may help characterize inflammatory pancreatic lesions. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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