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Spyglass pancreatoscopy for diagnosis, evaluation and staging of main duct intraductal papillary mucinous neoplasm
Spyglass pancreatoscopy for diagnosis, evaluation and staging of main duct intraductal papillary mucinous neoplasm - 2.º Prémio (Vídeo)
Rui Morais, Filipe Vilas Boas, João Antunes, Pedro Pereira, Guilherme Macedo
Centro Hospitalar São João
An 84 year-old man underwent an abdominal CT due to abdominal pain. This exam revealed a lesion in the head of the pancreas that conditioned a diffuse main pancreatic duct dilation, in probable relation to a MD-IPMN. After multidisciplinary discussion the patient underwent pancreatoscopy that revealed in the pancreatic head presence of mucin, papillary fronds and protusions with “fish-egg” appearance. Biopsies were performed in all segments and confirmed a diagnosis of MD-IPMN in the pancreatic head, with no lesions in the remaining segments. The patient was submitted to a subtotal duodenopancreatectomy that confirmed previous findings and associated presence of adenocarcinoma.
