EUS-guided FNA of a peripancreatic lymphocele

Lim, Wee Chian; Leblanc, Julia K.; DeWitt, John M.

doi:10.1016/s0016-5107(05)01640-8

Cited by 7 publications

(2 citation statements)

References 38 publications

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“…51 Teratomas, choriocarcinomas, lymphoepithelial cysts, and lymphoceles should be included in rare differentials of CPLs. 52,53 Primary pancreatic lymphomas are rare, constitute 0.5% of all pancreatic neoplasms. They usually are large B-cell non-Hodgkin lymphomas presenting as mass lesions and EUS-FNA with flow cytometry is helpful in differentiating from other primary pancreatic lesions.…”

Section: Eus In Other Rare Pancreatic Tumorsmentioning

confidence: 99%

Endosonography in solid and cystic pancreatic tumors

Krishna¹,

Lee²

2011

jig

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Pancreatic tumors being either benign or malignant can be solid or cystic. Although diverse in presentation, their imaging features share commonalities and it is often difficult to distinguish these tumors. Endoscopic ultrasonography (EUS) is the most sensitive of the imaging procedures currently available for characterizing pancreatic tumors, and is especially good in identifying the smaller sized tumors. Additional applications inclusive of EUS-guided fine needle aspiration (EUS-FNA) are useful in tissue sampling and preoperative staging of pancreatic tumors.Although diagnostic capabilities have greatly evolved with advances in EUS and tissue processing technology (cytology, tumor markers, DNA analysis), differentiation of benign and malignant neoplasms, neoplastic and non-neoplastic (chronic pancreatitis) conditions, continues to be challenging.Recent innovative applications include contrast-enhanced EUS with Doppler mode, contrast-enhanced harmonic EUS, 3-dimensinal EUS, and EUS elastography. Incorporation of these methods has improved the differential diagnosis of pancreatic tumors. Finally, a multi-disciplinary approach involving radiology, gastroenterology and surgical specialties is often necessary for accurate diagnosis and management of solid and cystic pancreatic tumors.

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Section: Eus In Other Rare Pancreatic Tumorsmentioning

confidence: 99%

Endosonography in solid and cystic pancreatic tumors

Krishna¹,

Lee²

2011

jig

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“…Only two other cases of peripancreatic lymphocele have been reported (3,4) and no case after gastrectomy has been reported in the literature. In this article, we describe the unusual occurrence of a peripancreatic lymphocele that had evident features after distal gastrectomy, as well as report on the management of this lesion by sclerotherapy with ethanol.…”

Section: Introductionmentioning

confidence: 99%

Peripancreatic Lymphocele after Distal Gastrectomy

Kim

2012

J Korean Soc Radiol

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Lymphocele occurs as a result of persistent leakage of disrupted lymphatics. Peripancreatic lymphocele is quite rare and has not yet been described in the literature. Here we report on a case of peripancreatic lymphocele in which a cystic mass was observed with a fat attenuating component using computed tomography after gastrectomy. Thus, we usually encounter lymphocele of a serous nature and with suitable radiologic findings; on ultrasound lymphocele appears as an anechoic cystic structure in a characteristic location adjacent to vessels in the parailiac region or surgical clips and may contain thin septations and debris. CT scan also reveals a hypodense cystic lesion in non-complicated cases and thick irregular enhancing wall in infected or complicated cases. On MR imaging of pelvic lymphocele appears as a lobulated cystic lesion with high signal intensity on T2-weighted images with imperceptible wall and negligible wall enhancement on contrast-enhanced T1-weighted images (2). Index termsIn our case, CT scan revealed a hypodense cystic mass in the region of the pancreatic tail after distal gastrectomy and perigastric lymphadenectomy. In view of its location, our first assumption was that the lesion was a pancreatic pseudocyst that occurred as a result of upper abdominal surgery. But, the patient had no past history of pancreatitis, no corresponding imaging findings to pancreatitis and had normal range of serum amylase. Furthermore, the hypodense cystic mass contained peripheral very low density materials, which is indicative of fat.The mass was so pathognomonic that we diagnosed the cystic mass as a lymphocele in spite of the rarity of this type of peri-2 additional sessions that were done at 48 hours intervals. The cystogram obtained after 8 days showed almost complete obliteration of the cavity (Fig. 1D), and the catheter was withdrawn without any complication. DISCUSSION

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The Role of EUS in Cystic Lesions of the Pancreas

Al‐Haddad

DeWitt

2010

Clinical Gastroenterology

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EUS-guided FNA of a peripancreatic lymphocele

Cited by 7 publications

References 38 publications

Endosonography in solid and cystic pancreatic tumors

Endosonography in solid and cystic pancreatic tumors

Peripancreatic Lymphocele after Distal Gastrectomy

The Role of EUS in Cystic Lesions of the Pancreas

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