Needle tract seeding following endoscopic ultrasound-guided fine-needle aspiration for pancreatic cancer: a report of two cases

World Journal of Surgical Oncology
Toshiki MatsuiShuji Isaji

Abstract

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a useful tool in pancreatic cancer diagnosis. However, the procedure itself may cause peritoneal dissemination and needle tract seeding at the puncture site. We herein report two cases of gastric wall metastasis due to needle tract seeding after EUS-FNA. Case 1: A 68-year-old woman was admitted to our hospital for persistent cough. Computed tomography (CT) scan revealed inflammatory changes in the left lung field, and incidentally, a 15-mm hypovascular mass was detected in the pancreatic body. She underwent EUS-FNA and was diagnosed as pancreatic adenocarcinoma. She underwent distal pancreatectomy with splenectomy; however, a small hard mass was observed in the posterior gastric wall during surgery. We performed partial gastrectomy, and the resected specimen was diagnosed as a needle tract seeding following EUS-FNA. She then underwent adjuvant chemotherapy with TS-1, but the pancreatic cancer showed recurrence 6 months after surgery. She died due to peritoneal dissemination 18 months after surgery. Case 2: A 70-year-old man was incidentally detected with a pancreatic body mass on a CT scan as part of his follow-up for recurrence of basal cell carcinoma. He underwe...Continue Reading

References

May 30, 2003·Surgery·Steven M StrasbergDavid Linehan
Oct 11, 2003·Journal of Gastroenterology and Hepatology·Yoshiki HirookaHiroki Kawashima
Apr 7, 2005·Gastrointestinal Endoscopy·Sarto C PaquinAnand V Sahai
Dec 21, 2010·Gastrointestinal Endoscopy·Kashif AhmedNathan Schmulewitz
Feb 8, 2011·Gastrointestinal Endoscopy·Kai-Xuan WangZhao-Shen Li
Sep 29, 2011·Gastrointestinal Endoscopy·Andre ChongDean Lisewski
Jan 18, 2012·Gastrointestinal Endoscopy·Michael Jonathan HewittKevin J Monahan
Mar 16, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Bradley AndersonSyed F Jafri
Mar 5, 2014·Diagnostic Cytopathology·Ruchita Tyagi, Pranab Dey
Jun 19, 2015·Journal of Hepato-biliary-pancreatic Sciences·Kosuke MinagaYukitaka Yamashita
Nov 4, 2016·The American Journal of Gastroenterology·Kosuke MinagaMasatoshi Kudo
Apr 21, 2017·Pancreas·Koji YamaguchiUNKNOWN Committee for Revision of Clinical Guidelines for Pancreatic Cancer of the Japan Pancreas Society
Aug 9, 2017·Journal of the National Comprehensive Cancer Network : JNCCN·Margaret A TemperoSusan Darlow
Feb 3, 2018·Clinical Journal of Gastroenterology·Utae SakamotoYoshikazu Kinoshita

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Citations

Dec 8, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Atsushi KannoAtsushi Masamune
Aug 27, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Masayuki KitanoReiko Ashida

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Methods Mentioned

BETA
pancreatectomy
SMA
biopsy

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