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Endoscopic ultrasound−guided fine−nee− dle aspiration (EUS−FNA) has a lower sen− sitivity for pancreatic mass lesions in the setting of chronic pancreatitis [1, 2]. The EUS appearances associated with chronic pancreatitis limit imaging and therefore the interpretation of the changes seen with pancreatic masses: echo−poor foci in the pancreas make it difficult to decide on which area to puncture, and calcifica− tions lead to acoustic shadowing that can conceal a mass. In addition, cytological in− terpretation can be challenging because the inflammatory infiltrate can obscure or simulate a pancreatic malignancy. We describe here a patient with underlying chronic pancreatitis in whom pancreatic stenting facilitated the diagnosis of pan− creatic cancer at EUS−FNA.

endoscopy

Use of a pancreatic stent as a guide for endoscopic ultrasound-guided fine-needle aspiration of a solid pancreatic mass lesion in a patient with underlying chronic pancreatitis