Role of endoscopic ultrasound and endoscopic retrograde cholangiopancreatography in isolated pancreatic metastasis from lung cancer

Singh, Diksha; Vaidya, Omkar U.; Sadeddin, Esmat; Yousef, Osama

doi:10.4253/wjge.v4.i7.328

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…There is no standard treatment approach for MIAP in patients with SCLC. Endoscopic intrapancreatic stent implantation is a palliative solution, but in some cases it can improve performance status of the patients and consequently make them suitable for receiving chemotherapy [ 6 , 20 ]. Radiotherapy can be used for palliation of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Metastasis-Induced Acute Pancreatitis Successfully Treated with Chemotherapy and Radiotherapy in a Patient with Small Cell Lung Cancer

Okutur

Bozkurt

Korkmaz

et al. 2015

Case Reports in Oncological Medicine

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Although involvement of pancreas is a common finding in small cell lung cancer (SCLC), metastasis-induced acute pancreatitis (MIAP) is very rare. A 50-year-old female with SCLC who had limited disease and achieved full response after treatment presented with acute pancreatitis during her follow-up. The radiologic studies revealed a small area causing obliteration of the pancreatic duct without mass in the pancreatic neck, and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) confirmed the metastasis of SCLC. The patient was treated successfully with systemic chemotherapy and radiotherapy delivered to pancreatic field. In SCLC, cases of MIAP can be encountered with conventional computed tomography with no mass image, and positron emission tomography and EUS-FNA can be useful for diagnosis of such cases. Aggressive systemic and local treatment can prolong survival, especially in patients with good performance status.

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Section: Discussionmentioning

confidence: 99%

Metastasis-Induced Acute Pancreatitis Successfully Treated with Chemotherapy and Radiotherapy in a Patient with Small Cell Lung Cancer

Okutur

Bozkurt

Korkmaz

et al. 2015

Case Reports in Oncological Medicine

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“…Acinar cell carcinomas, solid-pseudopapillary tumors and pancreatic metastasis can also be diagnosed by EUS-FNA and whenever each of these diagnoses is suspected, the procedure should be attempted. [ 80 81 82 ]…”

Section: Indications Of Eus-fna In Solid Pancreatic Tumors When To Pmentioning

confidence: 99%

When to puncture, when not to puncture: Pancreatic masses

2014

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Endoscopic ultrasound (EUS) has evolved to become a crucial tool for the evaluation of pancreatic diseases, among them solid pancreatic lesions. However, its ability to determine whether a lesion is malignant or not is difficult to establish based only in the endosonographic image. EUS-guided fine needle aspiration (EUS-FNA) allows obtaining a cytological and/or histological sample from pancreatic lesions, with a high overall accuracy and low complication rates. Although the clinical usefulness of EUS-FNA for pancreatic diseases is widely accepted, the indications for tissue diagnosis of pancreatic lesions suspected to be malignant is still controversial. This review highlights the diagnostic accuracy and complications of EUS-FNA, focusing on its current indications.

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“…Extra-thoracic metastasis of lung cancer is most commonly to the bones, liver, adrenal gland, and intrabdominal lymph nodes [ 9 ]. Pancreatic metastasis is commonly associated with diffuse metastatic disease [ 10 , 11 ] and when metastasis occurs from a lung primary, it is most frequently from small cell lung cancers [ 12 ]. Pancreatic metastasis from lung primaries is a rare occurrence, with one study showing that only 1% of non-small cell lung cancers result in pancreatic metastasis [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Isolated Pancreatic Metastasis from a Lung Adenocarcinoma Primary: A Case Report and Literature Review

Akpoviroro,

Pramick,

Adjei

2023

Case Rep Oncol

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Isolated pancreatic metastasis is a rare occurrence and is commonly misdiagnosed as primary pancreatic malignancy. We present a case of a 65-year-old female patient with a history of stage IIIA lung adenocarcinoma, who developed significant epigastric pain 27 months after diagnosis and treatment of a primary lung adenocarcinoma. This patient was found to have a pancreatic head lesion initially suspected to be a primary pancreatic neoplasm but eventually discovered to be a metastatic lesion from the previously treated primary lung adenocarcinoma.

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Role of endoscopic ultrasound and endoscopic retrograde cholangiopancreatography in isolated pancreatic metastasis from lung cancer

Cited by 6 publications

References 5 publications

Metastasis-Induced Acute Pancreatitis Successfully Treated with Chemotherapy and Radiotherapy in a Patient with Small Cell Lung Cancer

Metastasis-Induced Acute Pancreatitis Successfully Treated with Chemotherapy and Radiotherapy in a Patient with Small Cell Lung Cancer

When to puncture, when not to puncture: Pancreatic masses

Isolated Pancreatic Metastasis from a Lung Adenocarcinoma Primary: A Case Report and Literature Review

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