74-Jähriger patient mit zystischen pankreasraumforderungen. Vorschlag für einen endoskopischen diagnosealgorithmus

S. Wörmann; A. Meining; M. Hartel; L. Ludwig; C. Prinz; J. Gaa; S. Schulz; R. M. Schmid; H. Algül

doi:10.1007/s00108-010-2658-6

74-Jähriger patient mit zystischen pankreasraumforderungen. Vorschlag für einen endoskopischen diagnosealgorithmus

Translated title of the contribution: 74-Year-old patient with cystic pancreatic lesions. An endoscopy-based algorithm

S. Wörmann, A. Meining, M. Hartel, L. Ludwig, C. Prinz, J. Gaa, S. Schulz, R. M. Schmid, H. Algül

Technical University of Munich

Research output: Contribution to journal › Article › peer-review

Abstract

Often, equivocal pancreatic cystic masses in a patient cannot be clearly identified. We report on a 74-year-old patient who consulted us with size-gaining multi-cystic lesions located at the pancreatic head and tail as well as with an increased CA 19-9 level. By using diagnostic methods as ultrasound, radiological images and innovative endoscopic techniques an intraductal papillary mucinous neoplasm (IPMN) was diagnosed. Evaluation of equivocal cystic lesions requires developing of further strategies as well as integration of new concepts: We present a diagnostic algorithm basedon endoscopy that enables us to perform an adapted therapy by having a more accurate evaluation and the opportunity to gain samples where unclear lesions are given.

Translated title of the contribution	74-Year-old patient with cystic pancreatic lesions. An endoscopy-based algorithm
Original language	German
Pages (from-to)	318-323
Number of pages	6
Journal	Internist
Volume	52
Issue number	3
DOIs	https://doi.org/10.1007/s00108-010-2658-6
State	Published - Mar 2011
Externally published	Yes

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title = "74-J{\"a}hriger patient mit zystischen pankreasraumforderungen. Vorschlag f{\"u}r einen endoskopischen diagnosealgorithmus",

abstract = "Often, equivocal pancreatic cystic masses in a patient cannot be clearly identified. We report on a 74-year-old patient who consulted us with size-gaining multi-cystic lesions located at the pancreatic head and tail as well as with an increased CA 19-9 level. By using diagnostic methods as ultrasound, radiological images and innovative endoscopic techniques an intraductal papillary mucinous neoplasm (IPMN) was diagnosed. Evaluation of equivocal cystic lesions requires developing of further strategies as well as integration of new concepts: We present a diagnostic algorithm basedon endoscopy that enables us to perform an adapted therapy by having a more accurate evaluation and the opportunity to gain samples where unclear lesions are given.",

keywords = "Chronic pancreatits, Confocal lasermicroscopy, Intraductal papillary mucinous neoplasm, Pancreatic cyst, Pancreaticoscopy",

author = "S. W{\"o}rmann and A. Meining and M. Hartel and L. Ludwig and C. Prinz and J. Gaa and S. Schulz and Schmid, {R. M.} and H. Alg{\"u}l",

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month = mar,

doi = "10.1007/s00108-010-2658-6",

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AU - Wörmann, S.

AU - Meining, A.

AU - Hartel, M.

AU - Ludwig, L.

AU - Prinz, C.

AU - Gaa, J.

AU - Schulz, S.

AU - Schmid, R. M.

AU - Algül, H.

PY - 2011/3

Y1 - 2011/3

N2 - Often, equivocal pancreatic cystic masses in a patient cannot be clearly identified. We report on a 74-year-old patient who consulted us with size-gaining multi-cystic lesions located at the pancreatic head and tail as well as with an increased CA 19-9 level. By using diagnostic methods as ultrasound, radiological images and innovative endoscopic techniques an intraductal papillary mucinous neoplasm (IPMN) was diagnosed. Evaluation of equivocal cystic lesions requires developing of further strategies as well as integration of new concepts: We present a diagnostic algorithm basedon endoscopy that enables us to perform an adapted therapy by having a more accurate evaluation and the opportunity to gain samples where unclear lesions are given.

AB - Often, equivocal pancreatic cystic masses in a patient cannot be clearly identified. We report on a 74-year-old patient who consulted us with size-gaining multi-cystic lesions located at the pancreatic head and tail as well as with an increased CA 19-9 level. By using diagnostic methods as ultrasound, radiological images and innovative endoscopic techniques an intraductal papillary mucinous neoplasm (IPMN) was diagnosed. Evaluation of equivocal cystic lesions requires developing of further strategies as well as integration of new concepts: We present a diagnostic algorithm basedon endoscopy that enables us to perform an adapted therapy by having a more accurate evaluation and the opportunity to gain samples where unclear lesions are given.

KW - Chronic pancreatits

KW - Confocal lasermicroscopy

KW - Intraductal papillary mucinous neoplasm

KW - Pancreatic cyst

KW - Pancreaticoscopy

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ER -

74-Jähriger patient mit zystischen pankreasraumforderungen. Vorschlag für einen endoskopischen diagnosealgorithmus

Abstract

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