A case of needle tract seeding after EUS-guided FNA in pancreatic cancer, detected by serial positron emission tomography/CT

Kita, Emiri; Yamaguchi, Taketo; Sudo, Kentaro

doi:10.1016/j.gie.2016.01.060

Cited by 28 publications

(22 citation statements)

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“…To the best of our knowledge, this is the first report of a gastric submucosal tumor arising from needle tract seeding along with paragastric lymph node metastasis. Since the first case was reported by Hirooka et al in 2003, a total of 18 cases including the present case have been described, and 13 cases were reported within the last 5 years (Table 1) [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Among these cases, there was no pancreatic tumor located in the head of the pancreas.…”

Section: Discussionmentioning

confidence: 72%

Needle tract seeding recurrence of pancreatic cancer in the gastric wall with paragastric lymph node metastasis after endoscopic ultrasound-guided fine needle aspiration followed by pancreatectomy: a case report and literature review

et al. 2020

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Background: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has high accuracy and a low complication rate; therefore, it has been widely used as a useful tool for diagnosis of and to determine treatment strategies for pancreatic tumors. Recently, reports of the recurrence of needle tract seeding after EUS-FNA are emerging. Case presentation: An 83-year-old woman was referred to our hospital to undergo further examination of her pancreatic tumor. Multidetector computed tomography (MDCT) revealed a 25-mm-diameter mass in the pancreatic body. She underwent EUS-FNA (transgastric, 22-G needle, 2 passes) and was subsequently diagnosed with adenocarcinoma. Distal pancreatosplenectomy followed by adjuvant chemotherapy with S-1 for 6 months was performed. The level of carbohydrate antigen 19-9 gradually increased 22 months after surgery, and MDCT, which was performed 3 months later, revealed a 23-mm low-density mass in the stomach and paragastric lymph node swelling. Gastroendoscopy revealed a submucosal tumor, and endoscopic ultrasound revealed a hypoechoic mass in the submucosa of the gastric wall. Partial gastrectomy with lymph node resection was performed. The pathological findings showed adenocarcinoma extending from the subserosa to the submucosa and lymph node metastasis, consistent with a tumor recurrence from the resected pancreatic tumor. She received adjuvant chemotherapy with S-1; recurrence was not observed for 5 months, at the time of this writing. Conclusion: It is important to pay careful attention to the development of needle tract seeding in patients with pancreatic cancer diagnosed by EUS-FNA. This is the first case of needle tract seeding with lymph node metastasis, highlighting the need for caution and providing novel insight in the postoperative follow-up of patients with pancreatic body/tail cancer.

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Section: Discussionmentioning

confidence: 72%

Needle tract seeding recurrence of pancreatic cancer in the gastric wall with paragastric lymph node metastasis after endoscopic ultrasound-guided fine needle aspiration followed by pancreatectomy: a case report and literature review

et al. 2020

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“…They concluded that pancreatic lesions located in the body/tail have more risk because of needle passage through lesser sac. Kita et al[ 65 ] described another case report of needle tract seeding (NTS) in posterior wall of stomach after EUS-FNA of pancreatic cancer located in pancreatic body. They concluded that NTS is rare in pancreatic head lesions as the needle passage is through duodenum and usually they undergo pancreaticoduodenectomy which includes needle tract (duodenal bulb).…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

Clinical update on the management of pseudopapillary tumor of pancreas

Lanke

Ali

Lee

2018

WJGE

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Solid pseudopapillary neoplasm (SPN) is a rare tumor with malignant potential which is generally located in the tail of pancreas. The prevalence of SPN has increased with widespread use of cross sectional imaging. SPN is often misdiagnosed due to nonspecific clinical presentation and accurate diagnosis is essential for optimal management. Endoscopic ultrasound-FNA with immunohistochemistry can help in preoperative diagnosis. Surgery is the treatment of choice and a successful R0 resection is curative. Overall, SPN has a good prognosis. This review article focuses on pathogenesis, diagnosis and management of SPN.

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“…1 However, as the number of EUS-FNA increases, the possibility of needle tract seeding occurring after EUS-FNA should always be minded. 2 Especially, in cases when surgical resection does not include the needle tract, such as cancers in the body or tail of the pancreas, EUS-FNA should be cautiously considered and the number of needle passes should be minimized. Close periodical exami-nations including gastroscopy should be scheduled for patients who undergo EUS-FNA without needle tract resection.…”

Section: Figmentioning

confidence: 99%

A Mass in the Stomach Observed after Endoscopic Ultrasonography-guided Fine-needle Aspiration for Pancreatic Cancer

Kim

2019

Korean J Helicobacter Up Gastrointest Res

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A case of needle tract seeding after EUS-guided FNA in pancreatic cancer, detected by serial positron emission tomography/CT

Cited by 28 publications

References 0 publications

Needle tract seeding recurrence of pancreatic cancer in the gastric wall with paragastric lymph node metastasis after endoscopic ultrasound-guided fine needle aspiration followed by pancreatectomy: a case report and literature review

Needle tract seeding recurrence of pancreatic cancer in the gastric wall with paragastric lymph node metastasis after endoscopic ultrasound-guided fine needle aspiration followed by pancreatectomy: a case report and literature review

Clinical update on the management of pseudopapillary tumor of pancreas

A Mass in the Stomach Observed after Endoscopic Ultrasonography-guided Fine-needle Aspiration for Pancreatic Cancer

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