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タイトル: | Resected tumor seeding in stomach wall due to endoscopic ultrasonography-guided fine needle aspiration of pancreatic adenocarcinoma |
著者: | Tomonari, Akiko Katanuma, Akio Matsumori, Tomoaki Yamazaki, Hajime https://orcid.org/0000-0002-9034-4370 (unconfirmed) Sano, Itsuki Minami, Ryuki Sen-yo, Manabu Ikarashi, Satoshi Kin, Toshifumi Yane, Kei Takahashi, Kuniyuki Shinohara, Toshiya Maguchi, Hiroyuki |
著者名の別形: | 松森, 友昭 |
キーワード: | Endoscopic ultrasonography-guided fine needle aspiration Pancreatic cancer Tumor seeding |
発行日: | 21-Jul-2015 |
出版者: | WJG Press |
誌名: | World Journal of Gastroenterology |
巻: | 21 |
号: | 27 |
開始ページ: | 8458 |
終了ページ: | 8461 |
抄録: | Endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) is a useful and relatively safe tool for the diagnosis and staging of pancreatic cancer. However, there have recently been several reports of tumor seeding after EUS-FNA of adenocarcinomas. A 78-year-old man was admitted to our hospital due to upper gastric pain. Examinations revealed a 20 mm mass in the pancreatic body, for which EUS-FNA was performed. The cytology of the lesion was adenocarcinoma, and the stage of the cancer was T3N0M0. The patient underwent surgery with curative intent, followed by adjuvant chemotherapy with S-1. An enlarging gastric submucosal tumor was found on gastroscopy at 28 mo after surgery accompanied by a rising level of CA19-9. Biopsy result was adenocarcinoma, consistent with a pancreatic primary tumor. Tumor seeding after EUS-FNA was strongly suspected. The patient underwent surgical resection of the gastric tumor with curative intent. The pathological result of the resected gastric specimen was adenocarcinoma with a perfectly matched mucin special stain result with the previously resected pancreatic cancer. This is the first case report of tumor seeding after EUS-FNA which was surgically resected and inspected pathologically. |
著作権等: | © The Author(s) 2015. Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/ licenses/by-nc/4.0/ |
URI: | http://hdl.handle.net/2433/218798 |
DOI(出版社版): | 10.3748/wjg.v21.i27.8458 |
PubMed ID: | 26217099 |
出現コレクション: | 学術雑誌掲載論文等 |
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