The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor. (14th January 2019)

• Record Type: Journal Article
• Authors: Haq, Iqra; Krishna, Somashekar G.; Patel, Bhaveshkumar; Thambi-Pillai, Thavam; Xie, Chencheng; Odegaard, Karah; Buohy, Kimberlee; Atiq, Muslim
• Other Names: Damin Daniel C. Academic Editor.
• Is Part Of: Case reports in gastrointestinal medicine. Volume 2019(2019)
• Publication Date: 2019-01-14
• Subjects: Gastroenterology -- Case studies -- Periodicals; Digestive organs -- Diseases -- Periodicals; Gastroenterology; Gastrointestinal Diseases; Digestive organs -- Diseases; Gastroenterology; Electronic journals; Periodicals; Case studies; Periodicals; 616.33
• DOI: 10.1155/2019/5187874
• Languages: English
• ISSNs: 2090-6528

Abstract

Abstract : Cystic pancreatic neuroendocrine tumors represent around 13% of all neuroendocrine tumors (Hurtado-Pardo 2017). There has been an increase in the incidence of cases due to improvement in imaging modalities. This is a case of a 68-year-old male with the incidental finding of a pancreatic cyst on CT. Initial Endoscopic Ultrasound with Fine Needle Aspiration (EUS-FNA) showed sonographic and cytology features suggestive of a pancreatic pseudocyst. However the cyst persisted with no change in size after aspiration leading to a follow-up EUS- FNA, which was combined with needle based confocal laser endomicroscopy (nCLE). The nCLE features were consistent with a cystic pancreatic neuroendocrine tumor, which was later confirmed on histology after surgical resection.