intrapancreatic accessory spleen: a diagnosis not to forget!
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ID: 214797
2016
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Abstract
A 69-year-old male patient was incidentally diagnosed with a 5-mm lesion in the pancreatic tail by endoscopic ultrasound (EUS). After contrast-enhanced EUS and EUS-elastography, all imaging features were highly suggestive of a benign pancreatic solid lesion such as an intrapancreatic accessory spleen (IPAS) or a benign neuroendocrine tumor. Interposition of the splenic artery precluded EUS-guided fine-needle aspiration (FNA). When an asymptomatic pancreatic mass is detected, IPAS diagnosis should be considered, and, if EUS-FNA is infeasible, contrast-enhanced EUS and EUS-elastography are useful tools to differentiate a pancreatic benign lesion as IPAS from a malignancy, with avoidance of unnecessary surgery.
| Reference Key |
marques2016caseintrapancreatic
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|---|---|
| Authors | ;Susana Marques;Miguel Bispo;Lariño Noia |
| Journal | trends in genetics : tig |
| Year | 2016 |
| DOI |
10.1159/000452760
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| URL | |
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