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J Med Ultrason (2001). 2011 Oct;38(4):209. doi: 10.1007/s10396-011-0313-z. Epub 2011 Jun 17.

A case of solid-pseudopapillary neoplasm, focusing on contrast-enhanced endoscopic ultrasonography.

Journal of medical ultrasonics (2001)

Takuya Ishikawa, Akihiro Itoh, Hiroki Kawashima, Eizaburo Ohno, Hiroshi Matsubara, Masanao Nakamura, Ryoji Miyahara, Naoki Ohmiya, Hidemi Goto, Yoshiki Hirooka

Affiliations

  1. Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
  2. Department of Endoscopy, Nagoya University Hospital, 65 Tsuruma, Showa, Nagoya, 466-8550, Japan.
  3. Department of Endoscopy, Nagoya University Hospital, 65 Tsuruma, Showa, Nagoya, 466-8550, Japan. [email protected].

PMID: 27278586 DOI: 10.1007/s10396-011-0313-z

Abstract

We used contrast-enhanced endoscopic ultrasonography (CE-EUS) to diagnose a case of solid-pseudopapillary neoplasm (SPN) in an adult man. A 58-year-old man was referred to our hospital because of a pancreatic mass found by positron emission tomography (PET) using (18)F-fluorodeoxyglucose (FDG) during a medical checkup in 2009. Trans-abdominal ultrasonography revealed a 24-mm hypoechoic mass at the pancreatic tail with calcification inside. Multiphasic computed tomography (CT) showed a solid mass with delayed enhancement. EUS revealed a hypoechoic mass without lateral shadowing, and neither a septum nor cystic component was detected. CE-EUS using Sonazoid(®) showed a hypovascular mass compared with the surrounding pancreatic parenchyma, and the inside of the mass was enhanced like an alveolus nest, suggesting pseudopapillary change. Diagnosis of a solid-pseudopapillary neoplasm and a concomitant small neuroendocrine tumor was made by distal pancreatectomy.

Keywords: Contrast-enhanced endoscopic ultrasonography; Neuroendocrine tumor; Solid-pseudopapillary neoplasm; Sonazoid

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