Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Pancreatic Metastasis from Rectal Cancer that was Diagnosed by Endoscopic Ultrasonography-guided Fine Needle Aspiration (EUS-FNA)
Itsuki Sano, Akio Katanuma, Kei Yane, Toshifumi Kin, Kazumasa Nagai, Hajime Yamazaki, Hideaki Koga, Koh Kitagawa, Kensuke Yokoyama, Satoshi Ikarashi, Kuniyuki Takahashi, Hiroyuki Maguchi, Yuko Omori, Toshiya Shinohara
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Keywords: colorectal cancer, EUS-FNA, immunohistochemical staining, pancreatic metastasis, pulmonary metastasis, rectal cancer
JOURNAL OPEN ACCESS

2017 Volume 56 Issue 3 Pages 301-305

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Abstract

Pancreatic metastasis from colorectal cancer is rare, and there have been only a few reports of its preoperative diagnosis by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) with immunohistochemical staining. We herein describe the case of a 77-year-old woman in whom a solitary mass in the pancreatic tail was detected 11 years after rectal cancer resection. The patient also had a history of pulmonary tumor resection. We performed EUS-FNA and a histopathological examination showed adenocarcinoma with CD20+, CD7-, and CDX2+ (similar to her rectal cancer). EUS-FNA enabled a histopathological examination, including immunohistochemical staining, which helped to confirm the diagnosis of pancreatic and pulmonary metastasis from rectal cancer.

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© 2017 by The Japanese Society of Internal Medicine
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