SUCCESSFUL EUS-GUIDED RADIOFREQUENCY ABLATION OF A 9 MM NEUROENDOCRINE TUMOR AT THE HEAD OF THE PANCREAS

A 75-year-old male with a history of CAD, CHF, A-fib, and DM was found to have a 9 mm enhancing tumor at the head of the pancreas. EUS/FNA confirmed a low-grade pancreatic neuroendocrine tumor.

EUS RFA was performed using a 7 mm probe, 20 watts, 3 ablations each for 10 seconds (Video).

EUS/FNA repeated 3.5 months later showed residual PNET.

A second ablation was performed using a 7 mm probe, 20 watts, 4 ablations each for 10 seconds.

Repeated CT a month later confirmed complete ablation. The tumor was replaced by a cyst without any contrast enhancement.

Publication History

Article published online:
14 April 2022