Comments and illustrations of the European Federation of Societies for Ultrasound in Medicine contrast-enhanced ultrasonography guidelines: multiparametric imaging and EUS-guided sampling in rare pancreatic tumors. Mesenchymal pancreatic tumors of intermediate biological behaviour

Kathleen Möller; Tamara Holz; Christian Jenssen; Barbara Braden; Michael Hocke; Wei On; Simon M Everett; Yi Dong; Nan Ge; Siyu Sun; Michael Gerber; Siegbert Faiss; Christoph Schlag; David Srivastava; Christoph F Dietrich

doi:10.1097/eus.0000000000000071

Comments and illustrations of the European Federation of Societies for Ultrasound in Medicine contrast-enhanced ultrasonography guidelines: multiparametric imaging and EUS-guided sampling in rare pancreatic tumors. Mesenchymal pancreatic tumors of intermediate biological behaviour

Endosc Ultrasound. 2024 May-Jun;13(3):145-153. doi: 10.1097/eus.0000000000000071. Epub 2024 Jul 5.

Authors

Kathleen Möller¹, Tamara Holz², Christian Jenssen³, Barbara Braden⁴, Michael Hocke⁵, Wei On⁶, Simon M Everett⁶, Yi Dong⁷, Nan Ge⁸, Siyu Sun⁸, Michael Gerber¹, Siegbert Faiss¹, Christoph Schlag⁹, David Srivastava¹⁰, Christoph F Dietrich²

Affiliations

¹ Medical Department I/Gastroenterology, Sana Hospital Lichtenberg, Berlin, Germany.
² Department Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland.
³ Department of Internal Medicine, Krankenhaus Märkisch-Oderland, Strausberg, Germany; Brandenburg Institute for Clinical Ultrasound (BICUS) at Medical University Brandenburg, Neuruppin, Germany.
⁴ Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK; Medical Department B, University Muenster, Muenster, Germany.
⁵ Medical Department, Helios Klinikum Meiningen, Meiningen, Germany.
⁶ Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
⁷ Department of Ultrasound, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
⁸ Department of Endoscopy Center, Shengjing Hospital of China Medical University, Liaoning Province, China.
⁹ Klinik für Gastroenterologie und Hepatologie, Universitätsspital Zürich, Zürich, Switzerland.
¹⁰ Inselspital, University Hospital of Bern, Bern, Switzerland.

Abstract

The focus of the review is on mesenchymal pancreatic tumors with intermediate biological behavior and their imaging appearance. Similar to benign and malignant mesenchymal pancreatic tumors, these tumors are extremely rare. The diagnosis is often confirmed only by postoperative histology. The very limited data on abdominal ultrasound and EUS findings including contrast-enhanced techniques of these pancreatic lesions are summarized here.

Keywords: Contrast-enhanced ultrasonography (CEUS); EUS; Imaging; Mesenchymal pancreatic tumors.