Comments on and Illustrations of the EFSUMB CEUS Guidelines: Transabdominal and Endoscopic Ultrasound Features of Intrapancreatic Metastases and the Role of Multiparametric Imaging and EUS-Guided Sampling in Rare Pancreatic Tumors

Overview

Journal Cancers (Basel)

Publisher MDPI

Specialty Oncology

Date 2023 May 13

PMID 37174015

Authors

Kathleen Moller

Christian Jenssen

Barbara Braden

Michael Hocke

Yasunobu Yamashita

Paolo Giorgio Arcidiacono

Andre Ignee

Mirko DOnofrio

Pietro Fusaroli

Manoop S Bhutani

Yi Dong

Siyu Sun

Siegbert Faiss

Christoph F Dietrich

Affiliations

Soon will be listed here.

Abstract

A definite pathologic diagnosis of intrapancreatic metastasis is crucial for the management decision, i.e., curative or palliative surgery versus chemotherapy or conservative/palliative therapy. This review focuses on the appearance of intrapancreatic metastases on native and contrast-enhanced transabdominal ultrasound and endoscopic ultrasound. Differences and similarities in relation to the primary tumor, and the differential diagnosis from pancreatic carcinoma and neuroendocrine neoplasms are described. The frequency of intrapancreatic metastases in autopsy studies and surgical resection studies will be discussed. Further emphasis is placed on endoscopic ultrasound-guided sampling to confirm the diagnosis.

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