Ricardo Almeida, Luiza Bicudo, Leika Felipe, Gustavo Andrade de Paulo, Fauze Maluf-Filho, Luciano Lenz
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Pancreatic Metastasis From a Vulvar Melanoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy.
Vulvar melanoma (VM) is a rare and aggressive malignancy with a high metastatic potential. We present the case of an 82-year-old woman who initially presented with vaginal bleeding and was diagnosed with VM with lymph node involvement. Despite surgical and palliative interventions, she later developed brain, nodal, and pancreatic metastases. Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) confirmed pancreatic metastasis through immunohistochemistry. To our knowledge, this is the first reported case of pancreatic metastasis from VM diagnosed by EUS-FNB. This case highlights the importance of EUS-FNB in diagnosing metastatic lesions in unusual locations.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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