An Unusual Case of Pancreatic Metastasis from Squamous Cell Carcinoma of the Lung Diagnosed by EUS-Guided Fine Needle Biopsy.
Takuya IshikawaYoshiki HirookaCarolin J TemanHidemi GotoPaul J BelletruttiPublished in: Case reports in gastrointestinal medicine (2017)
We report a case of a 70-year-old man who presented with abdominal pain and weight loss, with initial imaging showing simultaneous mass lesions in the pancreas and lungs along with extensive lymphadenopathy in the thorax up to the left supraclavicular region. Core biopsies of the left supraclavicular lymph node showed squamous cell carcinoma, which required differentiation between secondary and primary pancreatic neoplasms. Endoscopic ultrasound-guided sampling using a novel fine needle biopsy system was key to making a definite histological diagnosis and determining the best treatment plan.
Keyphrases
- ultrasound guided
- fine needle aspiration
- squamous cell carcinoma
- lymph node
- abdominal pain
- weight loss
- air pollution
- high resolution
- bariatric surgery
- locally advanced
- lymph node metastasis
- roux en y gastric bypass
- combination therapy
- radiation therapy
- type diabetes
- early stage
- sentinel lymph node
- skeletal muscle
- body mass index
- rectal cancer
- replacement therapy
- glycemic control