Case of Intraductal Papillary Mucinous Tumor in Which Endosonography‐Guided Fine‐Needle Aspiration Biopsy Caused Dissemination

Aggressive Thyroid Carcinoma Showing Thymic-Like Differentiation (Castle): Case Report and Review of the Literature

“…3). This peculiar cancer dissemination has been suggested for other neoplasms [14,[20][21][22], especially for pleural mesothelioma [23], but never in CASTLE disease. Taking our experience into account, prophylactic radiotherapy treatment of the area(s) submitted to fine needle aspiration could be considered and recommended in CASTLE, as was successfully adopted in mesothelioma [24].…”

Prospective analysis of atypical epithelial cells as a high‐risk cytologic feature for malignancy in pancreatic cysts

“…In experienced centers, the complication rate is <1%. 5 The adoption of EUS-FNA as a valuable diagnostic tool is not universal because of the reported risk of mucin spillage and peritoneal contamination during the procedure by some 6,7 and because of the lack of expertise in both the procedure and cytologic interpretation by others. 8 Given the shift in patient management toward conservative, nonsurgical management in a large percentage of patients with pancreatic cysts, 9-11 the added value of cyst fluid analysis is important.…”

Rupture of a suspected pancreatic lymphoepithelial cyst causing chemical peritonitis after endoscopic ultrasound guided-fine needle aspiration

“…As in the current case, diagnosis by imaging is difficult; however, the pathological and biochemical findings of the cyst aspirate are highly diagnostic [2,3]. Complications after EUS-FNA of pancreatic cystic lesions are infrequent (2 % -5 %) [1], but do include serious problems such as hemosuccus pancreaticus, pancreatic ascites [4], tumor seeding [5], and, as in this case, chemical peritonitis.…”