scholarly journals A Case of Pancreatic Cancer with Gastric Wall Metastasis Caused by Needle Tract Seeding after Endoscopic Ultrasound with Fine Needle Aspiration

2019 ◽  
Vol 80 (7) ◽  
pp. 1365-1369
Author(s):  
Ken YONEMITSU ◽  
Katsunobu SAKURAI ◽  
Naoshi KUBO ◽  
Yutaka TAMAMORI ◽  
Akihiro MURATA ◽  
...  
2016 ◽  
Vol 111 (11) ◽  
pp. 1515 ◽  
Author(s):  
Kosuke Minaga ◽  
Masayuki Kitano ◽  
Eisuke Enoki ◽  
Hiroshi Kashida ◽  
Masatoshi Kudo

Suizo ◽  
2020 ◽  
Vol 35 (5) ◽  
pp. 394-402
Author(s):  
Masahiro FUSE ◽  
Yasuhiro YABUSHITA ◽  
Nobuhiro TSUCHIYA ◽  
Yu SAWADA ◽  
Yuki HOMMA ◽  
...  

2021 ◽  
pp. 977-982
Author(s):  
Nozomi Uozumi ◽  
Shoji Oura ◽  
Shinichiro Makimoto

A 77-year-old woman with epigastralgia was referred to our hospital. Abdominal computed tomography showed a hypointense mass in the pancreatic tail. Abdominal and endoscopic ultrasonography (EUS) showed a hypo-echoic mass, 25 × 25 mm in size, with pancreatic duct dilatation. EUS-guided fine-needle aspiration (EUS-FNA) was performed to the mass through gastric posterior wall. Pathological examination showed atypical cells growing papillary or tubular fashion, leading to the diagnosis of adenocarcinoma. Under the preoperative diagnosis of T2N0M0 pancreatic cancer, the patient underwent distal pancreatectomy and splenectomy. Macroscopic view of the resected specimen showed a presumed puncture-induced pancreatic pseudocyst adjacent to the pancreas. Pathological examination showed well-differentiated adenocarcinoma and a pseudocyst with presumed migrated atypical cells in the pseudocyst wall. The patient recovered uneventfully and has been on outpatient follow-up with adjuvant TS-1 therapy. Optimal treatment of pancreatic cancer naturally needs preoperative definitive diagnosis more strictly than other solid malignancies due to its much higher operative harm to the patients. EUS-FNA is a safe and effective diagnostic method but needs careful attention to the needle tract seeding.


Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E198-E199 ◽  
Author(s):  
Akira Sakurada ◽  
Tsuyoshi Hayashi ◽  
Michihiro Ono ◽  
Hirotoshi Ishiwatari ◽  
Jiro Ogino ◽  
...  

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