ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding (Day One) | March 2024-Radiology Studies Case 3 Pancreatic Mass

Pdf Summary

The document discusses a case study involving a pancreatic mass, focusing on differential diagnosis, evaluation, and risk stratification. Various types of solid pancreatic masses are outlined, along with the importance of cross-sectional imaging, PET, EUS, and laboratory tests for CA 19-9 and Chromogranin. Case studies of two patients with pancreatic masses are detailed, including symptoms, imaging findings, and treatments. Patient CO was diagnosed with pancreatic ductal adenocarcinoma, underwent ERCP and EUS-FNA, and unfortunately passed away 11 months post-diagnosis. Patient ME had a solid pseudopapillary tumor, underwent surgery with a good prognosis. The key takeaways include the significance of various imaging modalities, the effectiveness of EUS-FNA in sampling pancreatic masses, and the importance of multidisciplinary management for better outcomes. Overall, the document emphasizes the challenges of diagnosing and treating pancreatic masses, especially pancreatic adenocarcinoma, while highlighting the value of comprehensive evaluation and teamwork in managing these cases effectively.

Asset Subtitle

Sarah Enslin, PA-C and Vivek Kaul, MD, FASGE

Keywords

pancreatic mass

differential diagnosis

evaluation

risk stratification

solid pancreatic masses

cross-sectional imaging

PET

EUS

CA 19-9

Chromogranin