Endoscopic ultrasound-guided through-the-needle microforceps biopsy and needle-based confocal laser-endomicroscopy increase detection of potentially malignant pancreatic cystic lesions: A single-center study

Figure 1 Case No. 13: A 77 years old woman with a pancreatic cyst lesion corresponding to an intraductal papillary mucinous neoplasm. The lesion exhibited malignancy criteria at endoscopic ultrasound (EUS) and related techniques. A: EUS identifying a 4 cm pancreatic cyst lesion with mural nodules (yellow arrow); B: Mural nodule with hyper-enhancing at EUS (green arrow) shown in contrast-enhanced EUS; C: EUS-guided cystoscopy using a digital probe showing vascularity (red arrow) of a pancreatic macrocystic lesion filled with clear fluid.