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

Kathleen Möller; Christian Jenssen; Barbara Braden; Michael Hocke; Yasunobu Yamashita; Paolo Giorgio Arcidiacono; André Ignee; Mirko D’Onofrio; Pietro Fusaroli; Manoop S. Bhutani; Yi Dong; Siyu Sun; Siegbert Faiss; Christoph F. Dietrich

doi:10.3390/cancers15092546

Cancers (Apr 2023)

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

Kathleen Möller,
Christian Jenssen,
Barbara Braden,
Michael Hocke,
Yasunobu Yamashita,
Paolo Giorgio Arcidiacono,
André Ignee,
Mirko D’Onofrio,
Pietro Fusaroli,
Manoop S. Bhutani,
Yi Dong,
Siyu Sun,
Siegbert Faiss,
Christoph F. Dietrich

Affiliations

Kathleen Möller: Medical Department I/Gastroenterology, Sana Hospital Lichtenberg, 10365 Berlin, Germany
Christian Jenssen: Department of Internal Medicine, Krankenhaus Märkisch-Oderland, 15344 Strausberg, Germany
Barbara Braden: Translational Gastroenterology Unit, Oxford University Hospitals, OX3 9DU Oxford, UK
Michael Hocke: Medical Department, Helios Klinikum Meiningen, 98617 Meiningen, Germany
Yasunobu Yamashita: Second Department of Internal Medicine, Wakayama Medical University, Wakayama City 641-8509, Japan
Paolo Giorgio Arcidiacono: Division of Pancreatobiliary Endoscopy and Endosonography, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, 20132 Milan, Italy
André Ignee: Medical Clinic—Department for Gastroenterology and Rheumatology, Klinikum Wuerzburg Mitte, 97070 Wuerzburg, Germany
Mirko D’Onofrio: Department of Radiology, GB Rossi University Hospital, University of Verona, 37129 Verona, Italy
Pietro Fusaroli: Department of Medical and Surgical Sciences, Gastrointestinal Unit, University of Bologna/Hospital of Imola, 40126 Bologna, Italy
Manoop S. Bhutani: Department of Gastroenterology Hepatology and Nutrition, UTMD Anderson Cancer Center, Houston, TX 77030-4009, USA
Yi Dong: Department of Ultrasound, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
Siyu Sun: Department of Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110022, China
Siegbert Faiss: Medical Department I/Gastroenterology, Sana Hospital Lichtenberg, 10365 Berlin, Germany
Christoph F. Dietrich: Department Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, 3013 Bern, Switzerland

DOI: https://doi.org/10.3390/cancers15092546
Journal volume & issue: Vol. 15, no. 9
p. 2546

Abstract

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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.

Published in Cancers

ISSN: 2072-6694 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Website: https://www.mdpi.com/journal/cancers/

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