Difficulties in differential diagnosis of cystic pancreatic neoplasm: clinical case

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Abstract

Pancreatic ductal adenocarcinoma (PDA) accounts for 90% of all pancreatic neoplasms and is the fourth leading cause of cancer-related death in the western world and sixth - in Russia. PDAs may demonstrate intratumoral cystic features or accompany peritumoral non-neoplastic cystic lesions. We present the clinical case of the patient with cystic-solid lesion of pancreas, the use of contrast-enhanced harmonic EUS (CH-EUS) helped in determining the tactics of treatment. CH-EUS significantly increases the informativeness of the method, extends the possibilities of differential diagnostics of the pancreatobiliary diseases. Now assessment of diagnostic accuracy and determining the place of contrast enhancement in the diagnostics pancreatic diseases are considered the most relevant tasks.

About the authors

D. D Kovalenko

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

врач-эндоскопист, аспирант отделения диагностической эндоскопии 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

G. M Pronina

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

мл. науч. сотр. отд-ния диагностической эндоскопии 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

E. V Bystrovskaya

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

Email: e.bystrovskaya@mknc.ru
д-р мед. наук, зав. отд-нием диагностической эндоскопии 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

K. A Nikolskaya

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

канд. мед. наук, ст. науч. сотр. отд-ния патологии поджелудочной железы и желчных путей 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

K. K Noskova

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

канд. мед. наук, зав. отд. научных и клинических лабораторных исследований 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

V. V Shchadrova

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

врач-рентгенолог/врач КТ, сотр. рентгенологического отд-ния 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

D. S Bordin

Tver State Medical University of the Ministry of Health of the Russian Federation

д-р мед. наук, рук. отд. патологии поджелудочной железы, желчных путей и верхних отделов пищеварительного тракта», проф. каф. общей врачебной практики (семейной медицины) ФДПО, интернатуры и ординатуры 170100, Russian Federation, Tver, ul. Sovetskaja, d. 4

E. A Dubtsova

A.S.Loginov Moscow Clinical Scientific Practical Center of the Department of Health of Moscow

д-р мед. наук, зав. отд-нием патологии поджелудочной железы и желчных путей 111123, Russian Federation, Moscow, sh. Entuziastov, d. 86

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