The Error of Differential Diagnosis of Pancreatic Cystic Lesion Using CEUS (Case Report)
https://doi.org/10.24835/1607-0763-2017-1-29-35
Abstract
The use of the contrast agent SonoVue has been allowed in Russia since June 2014. Since then, russian experts have been accumulating their own experience in the contrast agent application for various diseases. The analysis of the obtained data showed that, besides the typical characteristics of the lesions enhancement, described in the literature, there can be atypical cases due to various causes (longterm course of the disease, co-morbidity). We present a clinical case of pancreas cystic lesion in female patient, that was misunderstood as a cystic tumor preoperatively. Considering the epithelial lining nature, absence of the accurate signs of the presence of an ovarian-like stroma, and also the significant secondary changes in the cystic wall such as hyalinosis, cholesterol deposits and macrophage accumulations, the lesion was interpreted as a long-standing pancreatic retention cyst with secondary changes by a morphological study. The features of the enhancement patterns of this lesion can be explained by the presence of significant secondary changes in the wall of cyst, that was first diagnosed in this patient 10 years ago.
About the Authors
N. N. Askerova
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
resident of Ultrasound Department of A.V. Vishnevsky Institute of Surgery, Moscow
119997 Moscow, Bolshaya Serpukhovskaya str., 27. A.V. Vishnevsky Institute of Surgery. Phone: 8-963-632-36-05
A. N. Askerova
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
resident of Radiology Department of A.V. Vishnevsky Institute of Surgery, Moscow
Yu. A. Stepanova
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
doct. of med. sci., the senior research of Radiology Department of A.V. Vishnevsky Institute of Surgery; professor of Radiology Department of IPE of I.M. Sechenov First Moscow State Medical University, Moscow
N. N. Vetsheva
A.V. Vishnevsky Institute of Surgery
Russian Federation
cand. of med. sci., a senior researcher of ultrasound department of A.V. Vishnevsky Institute of Surgery, Moscow
Russian Federation
cand. of med. sci., a senior researcher of ultrasound department of A.V. Vishnevsky Institute of Surgery, Moscow
A. V. Glotov
A.V. Vishnevsky Institute of Surgery
Russian Federation
junior research fellow of Patological Anatomy Department of A.V. Vishnevsky Institute of Surgery, Moscow
Russian Federation
junior research fellow of Patological Anatomy Department of A.V. Vishnevsky Institute of Surgery, Moscow
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Review
For citations:
Askerova N.N., Askerova A.N., Stepanova Yu.A., Vetsheva N.N., Glotov A.V. The Error of Differential Diagnosis of Pancreatic Cystic Lesion Using CEUS (Case Report). Medical Visualization. 2017;(1):29-35. (In Russ.) https://doi.org/10.24835/1607-0763-2017-1-29-35
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