EUS Biopsy: Can We Do Away with Cytology? By Dr. Saxena

Patient History

A 66-year-old female with a background of CREST syndrome, esophageal dysmotility, and a small intestinal bacterial overgrowth presented with nausea. She had also experienced unintentional weight loss of 10kg over 6 months.

An abdominal CT scan revealed a dilated and tortuous esophagus. There was also a 72mmx35mm low density mass in the tail of pancreas, occluding the splenic artery and vein.