Gastric Wall Implantation of Pancreatic Cancer Due to Preoperative Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Case Report

IF 0.2 4区医学 Q4 SURGERY

International surgery Pub Date : 2020-08-19 DOI:10.9738/intsurg-d-17-00039.1

H. Maehira, M. Ogawa, Masayasu Kawasaki, Atsuo Imagawa, K. Yuu, Aya Itoh, Naoto Mizumura, Kansuke Yamamoto, H. Yasuda, Sho Toyoda, H. Kawashima, S. Okumura, M. Yoshimura, M. Kameyama

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引用次数: 0

Abstract

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is often used to diagnose pancreatic tumors. In rare cases, preoperative EUS-FNA can be complicated by gastric wall implantation of pancreatic cancer. A 66-year-old woman with pancreatic tail cancer underwent evaluation by EUS-FNA, followed by distal pancreatectomy and splenectomy. Twelve months postoperatively, a submucosal tumor was detected at the posterior gastric wall, at the location where the EUS-FNA was performed, and a boring biopsy from the submucosal tumor showed an adenocarcinoma. Therefore, we performed partial gastrectomy. Immunostaining results of the resected specimen were identical to those of the resected pancreatic cancer. The patient was diagnosed as having gastric wall implantation of pancreatic cancer due to EUS-FNA. This case emphasizes the importance of monitoring the site of EUS-FNA for gastric wall implantation of pancreatic cancer, and boring biopsy is a useful diagnostic tool.

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术前超声内镜引导下细针穿刺行胰腺癌胃壁植入术1例

内镜下超声引导下细针穿刺(EUS-FNA)常用于胰腺肿瘤的诊断。在极少数情况下，术前EUS-FNA可并发胃癌胃壁植入。66岁女性胰腺癌患者行EUS-FNA评估，随后行远端胰腺切除术和脾切除术。术后12个月，胃后壁粘膜下肿瘤，在EUS-FNA进行的位置，粘膜下肿瘤的穿刺活检显示为腺癌。因此，我们进行了部分胃切除术。切除标本的免疫染色结果与切除的胰腺癌相同。患者经EUS-FNA检查诊断为胰腺癌胃壁植入。本病例强调了EUS-FNA对胰腺癌胃壁植入部位监测的重要性，钻孔活检是一种有用的诊断工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International surgery 医学-外科

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： International Surgery is the Official Journal of the International College of Surgeons. International Surgery has been published since 1938 and has an important position in the global scientific and medical publishing field. The Journal publishes only open access manuscripts. Advantages and benefits of open access publishing in International Surgery include: -worldwide internet transmission -prompt peer reviews -timely publishing following peer review approved manuscripts -even more timely worldwide transmissions of unedited peer review approved manuscripts (“online first”) prior to having copy edited manuscripts formally published. Non-approved peer reviewed manuscript authors have the opportunity to update and improve manuscripts prior to again submitting for peer review.