Case ReportCase Reports and Clinical Observations

Intracystic Biopsy and Diagnosis of Intraductal Papillary Mucinous Neoplasm via SpyGlass Pancreatoscopy

Shoichiro A. Tanaka, John D. McKee and W. Charles Conway
Ochsner Journal December 2015, 15 (4) 452-454;

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    Computed tomography revealed a dilated main pancreatic duct with areas of narrowing. The pancreatic stent is seen within the duct lumen (arrow).

  • Figure 2.
    Figure 2.

    SpyGlass pancreatoscopy of the main pancreatic duct revealed frond-like projections (arrow) from the epithelial lining, consistent with intraductal papillary mucinous neoplasm (IPMN). Endoluminal visualization allowed directed biopsies of these areas and facilitated a diagnosis of IPMN with significant atypia.

  • Figure 3.
    Figure 3.

    Gross evaluation of the surgical specimen showed ductal changes consistent with intraductal papillary mucinous neoplasm. Final pathology showed only noninvasive disease.

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