VIDEO PLENARY 2: VID-HPB-02: Endoscopic ultrasound-guided fine needle aspiration from small liver lesions in a case of gallbladder carcinoma

A 52-year-old male presented with nonspecific upper abdominal pain. His ultrasound abdomen revealed gallbladder wall thickening. A contrast (dynamic) computed tomography (CT) abdomen was suggestive of carcinoma gallbladder. He was planned for surgery and a positron emission tomography (PET) CT was d...

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Detalles Bibliográficos
Autores principales: Choudhary, Narendra Singh, Sarin, Haimanti, Guleria, Mridula, Sud, Randhir, Puri, Rajesh, Bansal, Rinkesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Abstract
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5569834/
http://dx.doi.org/10.4103/2303-9027.212282
Descripción
Sumario:A 52-year-old male presented with nonspecific upper abdominal pain. His ultrasound abdomen revealed gallbladder wall thickening. A contrast (dynamic) computed tomography (CT) abdomen was suggestive of carcinoma gallbladder. He was planned for surgery and a positron emission tomography (PET) CT was done; it showed PET avid lesion of gallbladder small portocaval node with fluorodeoxyglucose uptake. The patient was referred to endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) from lymph node. EUS-guided FNA from portocaval node was suggestive of reactive change. In addition, EUS showed several very small (<5 mm) lesions in the liver parenchyma which were suspicious of metastasis. These lesions were not visible in USG, contrast CT, and PET CT. EUS-guided FNA was taken from these lesions, FNA confirmed metastasis, and a futile surgery could be avoided.

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