The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor

Cystic pancreatic neuroendocrine tumors represent around 13% of all neuroendocrine tumors (Hurtado-Pardo 2017). There has been an increase in the incidence of cases due to improvement in imaging modalities. This is a case of a 68-year-old male with the incidental finding of a pancreatic cyst on CT....

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Main Authors:	Iqra Haq, Somashekar G. Krishna, Bhaveshkumar Patel, Thavam Thambi-Pillai, Chencheng Xie, Karah Odegaard, Kimberlee Buohy, Muslim Atiq
Format:	Article
Language:	English
Published:	Hindawi Limited 2019-01-01
Series:	Case Reports in Gastrointestinal Medicine
Online Access:	http://dx.doi.org/10.1155/2019/5187874

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spelling	doaj-9ae4af854fdb456b93afa48410621e3c2020-11-24T22:52:11ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/51878745187874The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine TumorIqra Haq0Somashekar G. Krishna1Bhaveshkumar Patel2Thavam Thambi-Pillai3Chencheng Xie4Karah Odegaard5Kimberlee Buohy6Muslim Atiq7Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USADivision of Gastroenterology, Hepatology and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USADepartment of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USADepartment of Surgery, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USADepartment of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USADepartment of Pathology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USADepartment of Pathology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USADepartment of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USACystic pancreatic neuroendocrine tumors represent around 13% of all neuroendocrine tumors (Hurtado-Pardo 2017). There has been an increase in the incidence of cases due to improvement in imaging modalities. This is a case of a 68-year-old male with the incidental finding of a pancreatic cyst on CT. Initial Endoscopic Ultrasound with Fine Needle Aspiration (EUS-FNA) showed sonographic and cytology features suggestive of a pancreatic pseudocyst. However the cyst persisted with no change in size after aspiration leading to a follow-up EUS- FNA, which was combined with needle based confocal laser endomicroscopy (nCLE). The nCLE features were consistent with a cystic pancreatic neuroendocrine tumor, which was later confirmed on histology after surgical resection.http://dx.doi.org/10.1155/2019/5187874
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Iqra Haq Somashekar G. Krishna Bhaveshkumar Patel Thavam Thambi-Pillai Chencheng Xie Karah Odegaard Kimberlee Buohy Muslim Atiq
spellingShingle	Iqra Haq Somashekar G. Krishna Bhaveshkumar Patel Thavam Thambi-Pillai Chencheng Xie Karah Odegaard Kimberlee Buohy Muslim Atiq The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor Case Reports in Gastrointestinal Medicine
author_facet	Iqra Haq Somashekar G. Krishna Bhaveshkumar Patel Thavam Thambi-Pillai Chencheng Xie Karah Odegaard Kimberlee Buohy Muslim Atiq
author_sort	Iqra Haq
title	The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor
title_short	The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor
title_full	The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor
title_fullStr	The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor
title_full_unstemmed	The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor
title_sort	impact of repeating endosonography with confocal endomicroscopy for the diagnosis of cystic neuroendocrine tumor
publisher	Hindawi Limited
series	Case Reports in Gastrointestinal Medicine
issn	2090-6528 2090-6536
publishDate	2019-01-01
description	Cystic pancreatic neuroendocrine tumors represent around 13% of all neuroendocrine tumors (Hurtado-Pardo 2017). There has been an increase in the incidence of cases due to improvement in imaging modalities. This is a case of a 68-year-old male with the incidental finding of a pancreatic cyst on CT. Initial Endoscopic Ultrasound with Fine Needle Aspiration (EUS-FNA) showed sonographic and cytology features suggestive of a pancreatic pseudocyst. However the cyst persisted with no change in size after aspiration leading to a follow-up EUS- FNA, which was combined with needle based confocal laser endomicroscopy (nCLE). The nCLE features were consistent with a cystic pancreatic neuroendocrine tumor, which was later confirmed on histology after surgical resection.
url	http://dx.doi.org/10.1155/2019/5187874
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The Impact of Repeating Endosonography with Confocal Endomicroscopy for the Diagnosis of Cystic Neuroendocrine Tumor

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