Pancreatic metastasis of malignant melanoma diagnosed by EUS-guided fine needle aspiration (EUS-FNA)
Pancreatic metastasis of malignant melanoma is rarely diagnosed while the patient is alive. We report a case of metastatic melanoma of the pancreas in a 35-year-old woman presenting with a solid mass of the pancreas. Her past medical history included a radical hysterectomy 2 years previously for mal...
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Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2007, Vol.104(7), pp.1082-1087 |
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creator | MINOGUCHI, Madoka YANAGAWA, Nobuyuki ISHIKAWA, Chisato SASAJIMA, Junpei GOTO, Mitsuru OKAMOTO, Miho SAITO, Yoshinori MURAKAMI, Masanori ORII, Yutaka YAOSAKA, Toru |
description | Pancreatic metastasis of malignant melanoma is rarely diagnosed while the patient is alive. We report a case of metastatic melanoma of the pancreas in a 35-year-old woman presenting with a solid mass of the pancreas. Her past medical history included a radical hysterectomy 2 years previously for malignant melanoma of the vagina. Twelve months later, lung metastasis was also resected. EUS-guided fine needle aspiration (EUS-FNA) identified that the pancreatic tumor was histologically and immunohistochemically identical to the surgical specimen of her lung neoplasm. Imaging studies including US, CT, and MRI have limited value to distinguish the tumors from primary ductal adenocarcinoma. EUS-FNA can provide tissue diagnosis from pancreatic masses, specifically when other modalities have failed. |
doi_str_mv | 10.11405/nisshoshi.104.1082 |
format | Article |
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We report a case of metastatic melanoma of the pancreas in a 35-year-old woman presenting with a solid mass of the pancreas. Her past medical history included a radical hysterectomy 2 years previously for malignant melanoma of the vagina. Twelve months later, lung metastasis was also resected. EUS-guided fine needle aspiration (EUS-FNA) identified that the pancreatic tumor was histologically and immunohistochemically identical to the surgical specimen of her lung neoplasm. Imaging studies including US, CT, and MRI have limited value to distinguish the tumors from primary ductal adenocarcinoma. 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We report a case of metastatic melanoma of the pancreas in a 35-year-old woman presenting with a solid mass of the pancreas. Her past medical history included a radical hysterectomy 2 years previously for malignant melanoma of the vagina. Twelve months later, lung metastasis was also resected. EUS-guided fine needle aspiration (EUS-FNA) identified that the pancreatic tumor was histologically and immunohistochemically identical to the surgical specimen of her lung neoplasm. Imaging studies including US, CT, and MRI have limited value to distinguish the tumors from primary ductal adenocarcinoma. EUS-FNA can provide tissue diagnosis from pancreatic masses, specifically when other modalities have failed.</description><subject>Adult</subject><subject>Biopsy, Fine-Needle</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Lung Neoplasms - secondary</subject><subject>Magnetic Resonance Imaging</subject><subject>Melanoma - diagnosis</subject><subject>Melanoma - secondary</subject><subject>Pancreas - pathology</subject><subject>Pancreatic Neoplasms - diagnosis</subject><subject>Pancreatic Neoplasms - secondary</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasonography</subject><subject>Vaginal Neoplasms - pathology</subject><subject>Vaginal Neoplasms - surgery</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kFFLwzAQgIMobsz9AkHyJPrQmTRt0j6OsTlhqKB7Lklz6TLadDbtw_69kc1BLscd3x3Hh9A9JTNKE5K-OOv9rvU7O6MkCZHFV2hMWZJHgufsGo1JkvCIpxkfoan3VhFC8jTPGLtFIyo4pSzjY6Q_pSs7kL0tcQO99OFZj1uDG1nbyknXh34tXdtIrK2sXOtBY3XEy-1XVA1Wh8pYB9gB6Bqw9AfbhXWtw09_yOp9_nyHboysPUzPeYK2q-X3Yh1tPl7fFvNNtI9p1kfSKCoIS1gpYkh1DqUQxjClElKCAm1yU2rFMyDCZCIOMxDHOU8JB6Z4rNgEPZ72Hrr2ZwDfF431JdThfGgHXwgiSJCXB_DhDA6qAV0cOtvI7lj8ewnA-gTsg5AKLoDsgqgaiov9ItgvxOXP4gtS7mRXgGO_qlCCuw</recordid><startdate>200707</startdate><enddate>200707</enddate><creator>MINOGUCHI, Madoka</creator><creator>YANAGAWA, Nobuyuki</creator><creator>ISHIKAWA, Chisato</creator><creator>SASAJIMA, Junpei</creator><creator>GOTO, Mitsuru</creator><creator>OKAMOTO, Miho</creator><creator>SAITO, Yoshinori</creator><creator>MURAKAMI, Masanori</creator><creator>ORII, Yutaka</creator><creator>YAOSAKA, Toru</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200707</creationdate><title>Pancreatic metastasis of malignant melanoma diagnosed by EUS-guided fine needle aspiration (EUS-FNA)</title><author>MINOGUCHI, Madoka ; YANAGAWA, Nobuyuki ; ISHIKAWA, Chisato ; SASAJIMA, Junpei ; GOTO, Mitsuru ; OKAMOTO, Miho ; SAITO, Yoshinori ; MURAKAMI, Masanori ; ORII, Yutaka ; YAOSAKA, Toru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j218t-afb170343c72e5d9ec77ff3bb40cebedf9fcdb68e07f872218e2296506e3b62b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Biopsy, Fine-Needle</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Lung Neoplasms - secondary</topic><topic>Magnetic Resonance Imaging</topic><topic>Melanoma - diagnosis</topic><topic>Melanoma - secondary</topic><topic>Pancreas - pathology</topic><topic>Pancreatic Neoplasms - diagnosis</topic><topic>Pancreatic Neoplasms - secondary</topic><topic>Tomography, X-Ray Computed</topic><topic>Ultrasonography</topic><topic>Vaginal Neoplasms - pathology</topic><topic>Vaginal Neoplasms - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>MINOGUCHI, Madoka</creatorcontrib><creatorcontrib>YANAGAWA, Nobuyuki</creatorcontrib><creatorcontrib>ISHIKAWA, Chisato</creatorcontrib><creatorcontrib>SASAJIMA, Junpei</creatorcontrib><creatorcontrib>GOTO, Mitsuru</creatorcontrib><creatorcontrib>OKAMOTO, Miho</creatorcontrib><creatorcontrib>SAITO, Yoshinori</creatorcontrib><creatorcontrib>MURAKAMI, Masanori</creatorcontrib><creatorcontrib>ORII, Yutaka</creatorcontrib><creatorcontrib>YAOSAKA, Toru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MINOGUCHI, Madoka</au><au>YANAGAWA, Nobuyuki</au><au>ISHIKAWA, Chisato</au><au>SASAJIMA, Junpei</au><au>GOTO, Mitsuru</au><au>OKAMOTO, Miho</au><au>SAITO, Yoshinori</au><au>MURAKAMI, Masanori</au><au>ORII, Yutaka</au><au>YAOSAKA, Toru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pancreatic metastasis of malignant melanoma diagnosed by EUS-guided fine needle aspiration (EUS-FNA)</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2007-07</date><risdate>2007</risdate><volume>104</volume><issue>7</issue><spage>1082</spage><epage>1087</epage><pages>1082-1087</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>Pancreatic metastasis of malignant melanoma is rarely diagnosed while the patient is alive. We report a case of metastatic melanoma of the pancreas in a 35-year-old woman presenting with a solid mass of the pancreas. Her past medical history included a radical hysterectomy 2 years previously for malignant melanoma of the vagina. Twelve months later, lung metastasis was also resected. EUS-guided fine needle aspiration (EUS-FNA) identified that the pancreatic tumor was histologically and immunohistochemically identical to the surgical specimen of her lung neoplasm. Imaging studies including US, CT, and MRI have limited value to distinguish the tumors from primary ductal adenocarcinoma. EUS-FNA can provide tissue diagnosis from pancreatic masses, specifically when other modalities have failed.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>17611386</pmid><doi>10.11405/nisshoshi.104.1082</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biopsy, Fine-Needle Female Humans Hysterectomy Lung Neoplasms - secondary Magnetic Resonance Imaging Melanoma - diagnosis Melanoma - secondary Pancreas - pathology Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - secondary Tomography, X-Ray Computed Ultrasonography Vaginal Neoplasms - pathology Vaginal Neoplasms - surgery |
title | Pancreatic metastasis of malignant melanoma diagnosed by EUS-guided fine needle aspiration (EUS-FNA) |
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