Abstract

ISERN, Anna et al. Endoscopic ultrasound in the diagnosis of tumors neuroendocrine in the pancreas. Gen [online]. 2013, vol.67, n.1, pp.16-19. ISSN 0016-3503.

Introduction: Endoscopic ultrasound has an important role in the diagnosis of pancreatic masses, being adenocarcinoma the most frequently diagnosed histologic type. However, Endoscopic ultrasound can detect lesions as small as 2 cm. Methods: retrospective, descriptive study, which included patients with solid tumors of pancreas referred for he Fine Needle Aspiration- Endoscopic ultrasound. Patients and results: In the period 2008 - 2012 were assessed by Endoscopic ultrasound diagnosis of 140 patients with solid tumors of the pancreas, of which 5 patients (3.57%) were diagnosed as neuroendocrine tumors, 4 insulinomas were functioning and non-functioning one. 4 patients were female and one male and the average age was 58.4 years. The fine needle aspiration was positive in 4 cases, 3 patients were treated surgically and 1 died of severe hypoglycemia before surgery. Conclusions: Patients with suspected pancreatic neuroendocrine tumor and The Fine Needle Aspiration- Endoscopic ultrasound allowed even in cases of lesions less than 2 cms proper characterization and localization with histological confirmation prior to therapeutic decision which facilitates proper guidance and planning surgeon.

Keywords : neuroendocrine tumors; endoscopic ultrasound; the fine needle aspiration.

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