Endoscopic ultrasound-guided injective ablative treatment of pancreatic cystic neoplasms

Figure 1 Complete resolution was achieved in a patient with a serous cystic neoplasm. A: Magnetic resonance imaging (MRI) before endoscopic ultrasound-guided (EUS-guided) ablation showing a 52 mm × 52 mm × 41 mm cyst located in the pancreatic body; B: EUS evaluation of the cyst showing a 46.0 mm × 39.0 mm cyst in the body; C: Enhanced EUS view showing no obvious enhancement of the cystic wall; D: EUS-guided fine needle aspiration to aspirate cyst fluid; E: Injection of the ablative agent through the needle; F: Follow-up MRI at 4 mo after ablation showing complete resolution.