Affiliation

Christoph F Dietrich, Medizinische Klinik 2, Caritas-Krankenhaus Bad Mergentheim,

Video Captions

Benign neuroendocrine pancreatic neoplasia(pNET). B-mode (video 1) and contrast enhanced ultrasound using low mechanical index technique (video 2) are shown (Hitachi Ascendus).

Take Home Message

Endoscopic ultrasound is the method of choice to diagnose and exclude small pancreatic neoplasia. Due to the high spatial resolution provided by EUS small cystic and necrotic areas are easily identified. Typical endosonographic features of pNETs are hypoechogenicity and necrotic areas in B‑mode and arterial hyperenhancement after injection of ultrasound contrast agents.

Featured reference

• Braden B, Jenssen C, D’Onofrio M, Hocke M, Will U, Moller K, Dietrich CF et al. B-mode and contrast-enhancement characteristics of small non-incidental neuroendocrine pancreatic tumors. Endosc Ultrasound. 2017;6(1):49-54.
• Dietrich CF, Sahai AV, D’Onofrio M, Will U, Arcidiacono PG, Petrone MC, Hocke M, et al. Differential diagnosis of small solid pancreatic lesions. Gastrointest Endosc 2016;84:933-940