Endosonography with targeted aspiration of the suspicious mass

This is the case of a 70-year-old woman with pancreatic cancer who underwent a Whipple procedure. At the time, she had stage pT3N1. Afterwards, she received adjuvant chemotherapy. At a routine follow-up examination, sonography produced a suspicious abdominal finding.
For this reason, an endosonography with repeat visualization and targeted aspiration of the suspicious area was performed.

Take home messages:

Endosonography allows targeted aspiration of otherwise difficult-to-reach lesions in the abdomen and mediastinum.

Depending on the texture of the pathological specimen, a small cylinder of tissue can be obtained; nevertheless, the diagnosis is mostly verified by cytology.