An Intrapancreatic Cholangiocarcinoma Detected With Optical Coherence Tomography During Endoscopic Retrograde Cholangiopancreatography

1. The combination of endoscopic retrograde cholangiopancreatography (ERCP) with intraductal brushing and endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) in the differential diagnosis between benign and malignant lesions gives a sensitivity and specificity up to 71% and 100%, respectively.1, 2
   
   A 69-year old woman was referred to our institute for jaundice (conjugated bilirubin, 9.9 mg/dL). Transabdominal US and computed tomography scan revealed biliary system dilation, common bile duct (CBD) and gallbladder sludge, a multicystic lesion (5 cm diameter) in the lower left quadrant, and abdominal lymph node enlargement. EUS confirmed the biliary ductal dilation and revealed a segmental, ... (Read Full Article)
   
   

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