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Michael J Levy, Jonathan E Clain 

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Presentation on theme: "Michael J Levy, Jonathan E Clain "— Presentation transcript:

1 Evaluation and management of cystic pancreatic tumors: Emphasis on the role of EUS FNA 
Michael J Levy, Jonathan E Clain  Clinical Gastroenterology and Hepatology  Volume 2, Issue 8, Pages (August 2004) DOI: /S (04)

2 Figure 1 SCA. (A) EUS of a typical lesion showing multiple small microcysts. (B) Surgical specimen. (C) Cytology showing cuboidal glycogen-staining cells. (D) EUS of an uncommon solid variant. Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04) )

3 Figure 2 MCN. (A) EUS showing several macrocysts separated by septations. (B) Surgical specimen. (C) Cytology with mucin producing columnar epithelial cells and underlying ovarian stroma. (D) EUS of an uncommon unilocular variant. Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04) )

4 Figure 3 IPMN. (A) Endoscopic visualization of widely patent (gaping or fish-mouth) papilla extruding mucous. (B) EUS showing a markedly dilated main pancreatic duct. (C) Pancreatogram showing a dilated main duct (MPD) and side branches with a pancreatoscope inserted. The filling defects are the result of mucous and papillary projections. (D) Papillary projections seen during pancreatoscopy. (E) Papillary projections seen during intraductal ultrasonography. (F) Path specimen of main-duct disease. (G) Histologic representation of a papillary projection. (H) Branch-duct IPMN involving the uncinate branch. Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04) )


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