Open AccessThe endoscopic ultrasound diagnosis of pancreatic ductal adenocarcinoma with cystic degeneration
Author(s) -
Lai JianHan,
Lin ChingChung,
Liu ChiaYuan
Publication year - 2018
Publication title -
advances in digestive medicine
Language(s) - English
Resource type - Journals
ISSN - 2351-9800
DOI - 10.1002/aid2.13086
Subject(s) - medicine , endoscopic ultrasound , magnetic resonance imaging , radiology , differential diagnosis , adenocarcinoma , abdominal pain , ultrasound , pancreatic tumor , cyst , splenectomy , pancreas , pancreatic ductal adenocarcinoma , pancreatic cancer , pathology , surgery , cancer , spleen
Here, we present the case of an 87‐year‐old man who had dull upper abdominal pain for a month. Abdominal ultrasound and magnetic resonance imaging (MRI) demonstrated a cystic tumor in the pancreatic tail. Endoscopic ultrasound (EUS) showed a solid tumor with cystic degeneration, and fine‐needle aspiration (FNA) confirmed it was a pancreatic adenocarcinoma with tumor hemorrhage. The patient underwent a laparoscopic distal partial pancreatectomy and splenectomy. In this report, we emphasize that tumor hemorrhage‐related cystic degeneration is an uncommon manifestation of pancreatic ductal adenocarcinoma, and EUS with FNA may be more suitable for differential diagnosis than computed tomography or MRI.