Large platelet aggregates in endoscopic ultrasound‐guided fine‐needle aspiration of the pancreas and peripancreatic region: A clue for the diagnosis of intrapancreatic or accessory spleen

@article{Conway2013LargePA,
  title={Large platelet aggregates in endoscopic ultrasound‐guided fine‐needle aspiration of the pancreas and peripancreatic region: A clue for the diagnosis of intrapancreatic or accessory spleen},
  author={Andrea B Conway and Shelly Cook and Arbaz Samad and Rajeev Attam and Stefan E. Pambuccian},
  journal={Diagnostic Cytopathology},
  year={2013},
  volume={41}
}
Intrapancreatic and intraabdominal accessory spleens (IPIASs) are rarely encountered in endoscopic ultrasound‐guided fine‐needle aspiration (EUS‐FNA) biopsies. However, as incidentally discovered IPIAS can mimic a benign or malignant pancreatic neoplasm on imaging studies, a definitive diagnosis made by EUS‐FNA can avert an unnecessary surgical intervention or additional radiologic follow‐up. We report five cases of intrapancreatic splenules and one case of accessory spleen (AS) in which a… 
Intrapancreatic accessory spleen. Report of four cases diagnosed by ultrasound-guided fine-needle aspiration biopsy.
TLDR
Cytological features of IPAS included a polymorphous population of hematopoietic cells admixed with occasional blood vessels, and endothelial cells of the splenic sinuses characterized by their positivity for CD8 are evident in the sections of the cell blocks.
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TLDR
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TLDR
Ultrasound-guided fine-needle aspiration of hyperenhancing lesion suspicious for pancreatic neuroendocrine tumor in the tail of pancreas-potential pitfalls and its interpretation.
Diagnosis of intrapancreatic accessory spleen by endoscopic ultrasound-guided fine-needle aspiration mimicking a pancreatic neoplasm: a case report and review of literature
TLDR
Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) is a commonly performed diagnostic modality that can lead to a confirmatory diagnosis of AS, and all reported cases of AS that have been confirmed by EUS-FNA are reviewed.
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TLDR
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TLDR
The value of microhistology obtained by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for the diagnosis of pancreatic splenosis is demonstrated, preventing unnecessary surgeries, and reassures asymptomatic patients with hypoechoic, homogeneous, and well circumscribed pancreatic nodules.
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A 42-year-old male presented to our institution with a 2-month history of several episodes of confusion, double vision, headache, and loss of consciousness. The blood glucose levels measured during
Intrapancreatic accessory spleen mimicking pancreatic NET: can unnecessary surgery be avoided?
TLDR
The case of a 66-year-old cirrhotic patient with a pancreatic nodule with signal intensity and contrast enhancement pattern suggestive for a non-functional neuroendocrine lesion is presented.
Endoscopic ultrasound‐guided fine needle aspiration of accessory spleen: Cytomorphologic features and diagnostic considerations
TLDR
The largest cohort of AS cases evaluated by endoscopic ultrasound‐guided fine needle aspiration (EUS‐FNA) is reported, and it is reported that pancreas/or peripancreatic tissue involvement in accessory spleen/or splenule cases is high.
A Splenule Disguised as a Pancreatic Mass: EUS-FNA Cytology Raises the Curtain and Steals the Show- Review of Cytologic Features and Differential Diagnoses
Intrapancreatic accessory spleens (IPAS) are benign lesions that are rarely encountered in endoscopic ultrasound-guided fine-needle aspirations (EUSFNA). However, an incidentally discovered IPAS can
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