Endoscopic Ultrasound in the Diagnosis of Mucinous Pancreatic Neoplasms
Abstract
There has been an increased detection of incidental pancreatic cystic neoplasms (PCNs) over recent years. Accurate diagnosis and characterization of these PCNs are essential given their varying potential for malignant transformation. Endoscopic ultrasound (EUS) plays a key role in the evaluation of these lesions; yet, it is not without its limitations. Fluid cytological evaluation is often compromised by the acellular specimen whereas the diagnostic accuracy of chemical and molecular markers is not optimal. More recently, a novel EUS-guided through-the-needle biopsy forceps has been introduced. Potential advantages include targeted tissue sampling and acquisition of larger samples that may allow histological analysis. Further large prospective comparative studies are needed to determine the ideal modality for evaluation of PCNs.
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DOI: http://dx.doi.org/10.18103/imr.v0i5.112
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