Pancreatic Metastases from Ovarian Carcinoma - Diagnosis by Endsocopic Ultrasound-Guided Fine Needle Aspiration
Pancreatic metastases are very uncommon and originate most commonly from lung, colon, breast and kidney cancer. Ovarian adenocarcinoma has been reported as a primary site of pancreatic metastasis, but its diagnosis has rarely being reported by endoscopic ultrasound guided fine needle aspiration...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Associations
2012
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/24375/3/pancreatic-metastases.pdf http://irep.iium.edu.my/24375/ |
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| Summary: | Pancreatic metastases are very uncommon and originate
most commonly from lung, colon, breast and kidney cancer.
Ovarian adenocarcinoma has been reported as a primary site
of pancreatic metastasis, but its diagnosis has rarely being
reported by endoscopic ultrasound guided fine needle
aspiration (EUS-FNA). We report a case of multiple
metastases to the pancreas from ovarian carcinoma
occurring four years after original resection of the primary
tumour. Our patient presented with severe epigastric pain
which was initially treated as acute pancreatitis. Further
imaging modalities showed multiple large pseudocystic
lesions in the pancreatic head and body. Subsequent EUSFNA
confirmed that the lesions were metastatic disease
from an advanced ovarian carcinoma. She underwent
palliative chemotherapy and the pancreatic lesion showed
receding size. |
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