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1 2 3 › 3

2 Endoscopy
3 Ultrasound
4 ERCP
1 Clinical case
5 EUS
G Pancreas
U Surgical

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Multidisciplinary clinical case: Clinical abdominal US (LISI Daniele), CT (SODANI Giulio), EUS + FNB (LUCIDI Cristina, CONTI Laura), surgical resection (PERNAZZA Graziano).


A 71-year-old man underwent routinary abdominal ultrasound for dyspeptic symptoms; the examination showed an hypoechoic lesion in the pancreatic tail. CTscan revealed segmental dilation of the Wirsung canal with an ill-defined lesion downstream. EUS was then performed, identifying a well-defined pancreatic mass; FNB confirm clinical/US suspicius. The patient was then submitted to distal pancreatectomy + splenectomy, without complications.
 

Final diagnosis was pT2 pN0/14 R1 M1 pancreatic adenocarcinoma; the patient was therefore referred for oncological treatment.

 

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