The role of EUS in relation to other imaging modalities in the differential diagnosis between mass forming chronic pancreatitis, autoimmune pancreatitis and ductal pancreatic adenocarcinoma.
Differential diagnosis of solid pancreatic lesions remains as an important clinical challenge, mainly for the differentiation between mass forming chronic pancreatitis, autoimmune pancreatitis and pancreatic adenocarcinoma. Endoscopic ultrasound (EUS), computed tomography (CT) and magnetic resonance imaging (MRI) can all provide valuable and complementary information in this setting. Among them, EUS has the unique ability to obtain specimens for histopathological diagnosis and can therefore play a crucial role in the evaluation patients with inconclusive findings on initial examinations. Nowadays, new developed techniques associated to EUS, like elastography and contrast enhancement, have shown promising results for the differential diagnosis of these pancreatic lesions.
Department of Gastroenterology and Foundation for Research in Digestive Diseases (FIENAD), Hospital Universitario de Santiago de Compostela, A Coruña, Spain. julio.iglesias.garcia@sergas.es
Julio
J
Iglesias-García
Björn
B
Lindkvist
José
J
Lariño-Noia
J Enrique
JE
Domínguez-Muñoz
D001327:Autoimmune Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D044963:Biopsy, Fine-Needle; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D019160:Endosonography; D006801:Humans; D008279:Magnetic Resonance Imaging; D010179:Pancreas / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging*; D010195:Pancreatitis / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000276:immunology; D050500:Pancreatitis, Chronic / Q000175:diagnosis / Q000000981:diagnostic imaging; D014056:Tomography, X-Ray