Comments and illustrations of the European Federation of Societies for Ultrasound in Medicine contrast-enhanced ultrasound guidelines: Multiparametric imaging and EUS-guided sampling in rare pancreatic tumors. Benign mesenchymal pancreatic tumors

Kathleen Möller; Alina Batali; Christian Jenssen; Barbara Braden; Michael Hocke; Wei On; Simon M Everett; Yi Dong; Nan Ge; Siyu Sun; Michael Gerber; Siegbert Faiss; David Srivastava; Riccardo de Robertis; Mirko D Onofrio; Benjamin Misselwitz; Christoph F Dietrich

doi:10.1097/eus.0000000000000070

Comments and illustrations of the European Federation of Societies for Ultrasound in Medicine contrast-enhanced ultrasound guidelines: Multiparametric imaging and EUS-guided sampling in rare pancreatic tumors. Benign mesenchymal pancreatic tumors

Endosc Ultrasound. 2024 Jul-Aug;13(4):218-231. doi: 10.1097/eus.0000000000000070. Epub 2024 Aug 16.

Authors

Kathleen Möller¹, Alina Batali², Christian Jenssen³, Barbara Braden⁴, Michael Hocke⁵, Wei On⁶, Simon M Everett⁶, Yi Dong⁷, Nan Ge⁸, Siyu Sun⁸, Michael Gerber¹, Siegbert Faiss¹, David Srivastava⁹, Riccardo de Robertis¹⁰, Mirko D Onofrio¹⁰, Benjamin Misselwitz⁹, Christoph F Dietrich²

Affiliations

¹ Sana Hospital Lichtenberg, Medical Department I/Gastroenterology, Berlin, Germany.
² Department Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland.
³ Krankenhaus Märkisch-Oderland, Department of Internal Medicine, Strausberg, Germany; Brandenburg Institute for Clinical Ultrasound (BICUS) at Medical University Brandenburg, Neuruppin, Germany.
⁴ Translational Gastroenterology Unit, Oxford University Hospitals, Oxford, United Kingdom; and Medical Department B, University Muenster, Germany.
⁵ Medical Department, Helios Klinikum 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 Inselspital, University Hospital of Bern, Switzerland.
¹⁰ Department of Radiology, University of Verona, Verona, Italy.

Abstract

The focus of the review is on primary benign mesenchymal pancreatic tumors and their imaging appearance. These tumors are extremely rare. Usually, they are not diagnosed until postoperative histology is available, and so even benign tumors have undergone extensive pancreatic resection. The very limited data on abdominal and EUS findings including contrast-enhanced techniques of these pancreatic lesions are summarized here. Case reports will be presented for some of these rare tumors with application of modern ultrasound and endosonographic techniques.

Keywords: Benign mesenchymal pancreatic tumors; Contrast-enhanced ultrasound (CEUS); EUS; Imaging; Misdiagnoses.