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Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination

A 54‐year‐old man had previously undergone curative sigmoidectomy for poorly differentiated adenocarcinoma with a signet‐ring cell component of the sigmoid colon, which was characterized morphologically by stenosis and inelasticity of the colon (linitis plastica). Six weeks after surgery, the patien...

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Autores principales: Shitani, Masahiro, Ogino, Jiro, Akahonai, Masakazu, Isosaka, Mai, Ota, Shigenori, Tayama, Yoshiko, Ueki, Tomomi, Tsuruma, Tetsuhiro, Adachi, Takeya, Hirata, Koichi, Nakase, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828226/
https://www.ncbi.nlm.nih.gov/pubmed/35310688
http://dx.doi.org/10.1002/deo2.12
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author Shitani, Masahiro
Ogino, Jiro
Akahonai, Masakazu
Isosaka, Mai
Ota, Shigenori
Tayama, Yoshiko
Ueki, Tomomi
Tsuruma, Tetsuhiro
Adachi, Takeya
Hirata, Koichi
Nakase, Hiroshi
author_facet Shitani, Masahiro
Ogino, Jiro
Akahonai, Masakazu
Isosaka, Mai
Ota, Shigenori
Tayama, Yoshiko
Ueki, Tomomi
Tsuruma, Tetsuhiro
Adachi, Takeya
Hirata, Koichi
Nakase, Hiroshi
author_sort Shitani, Masahiro
collection PubMed
description A 54‐year‐old man had previously undergone curative sigmoidectomy for poorly differentiated adenocarcinoma with a signet‐ring cell component of the sigmoid colon, which was characterized morphologically by stenosis and inelasticity of the colon (linitis plastica). Six weeks after surgery, the patient developed stenosis of the right ureter. Disseminated sigmoid cancer was suspected, and chemotherapy was started. Nine months after initiation of chemotherapy, obstructive jaundice was observed which was due to stenosis of the distal bile duct (BD). Although computed tomography showed no evident metastatic lesion that could cause the stenosis, swelling of the entire pancreas was evident compared to that of 11 months earlier. Endoscopic ultrasound (EUS) also did not detect any focal masses in the head of the pancreas, although there was a diffuse hypoechoic change in the entire pancreas. Histopathology of the stenotic BD and biopsy specimen from the head of the pancreas showed no malignant cells. Two months after the initial endoscopic bile duct drainage, the patient was admitted again for epigastric pain. A second EUS fine needle aspiration (EUS‐FNA) of the head of the pancreas was performed and showed poorly differentiated carcinoma with some signet‐ring cells. This finding provided histological confirmation of a disseminated pancreatic lesion of the previously resected linitis plastica of the sigmoid colon. This is a rare case of disseminated pancreatic lesion from primary linitis plastica of the colon diagnosed by EUS‐FNA.
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spelling pubmed-88282262022-03-17 Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination Shitani, Masahiro Ogino, Jiro Akahonai, Masakazu Isosaka, Mai Ota, Shigenori Tayama, Yoshiko Ueki, Tomomi Tsuruma, Tetsuhiro Adachi, Takeya Hirata, Koichi Nakase, Hiroshi DEN Open Case Reports A 54‐year‐old man had previously undergone curative sigmoidectomy for poorly differentiated adenocarcinoma with a signet‐ring cell component of the sigmoid colon, which was characterized morphologically by stenosis and inelasticity of the colon (linitis plastica). Six weeks after surgery, the patient developed stenosis of the right ureter. Disseminated sigmoid cancer was suspected, and chemotherapy was started. Nine months after initiation of chemotherapy, obstructive jaundice was observed which was due to stenosis of the distal bile duct (BD). Although computed tomography showed no evident metastatic lesion that could cause the stenosis, swelling of the entire pancreas was evident compared to that of 11 months earlier. Endoscopic ultrasound (EUS) also did not detect any focal masses in the head of the pancreas, although there was a diffuse hypoechoic change in the entire pancreas. Histopathology of the stenotic BD and biopsy specimen from the head of the pancreas showed no malignant cells. Two months after the initial endoscopic bile duct drainage, the patient was admitted again for epigastric pain. A second EUS fine needle aspiration (EUS‐FNA) of the head of the pancreas was performed and showed poorly differentiated carcinoma with some signet‐ring cells. This finding provided histological confirmation of a disseminated pancreatic lesion of the previously resected linitis plastica of the sigmoid colon. This is a rare case of disseminated pancreatic lesion from primary linitis plastica of the colon diagnosed by EUS‐FNA. John Wiley and Sons Inc. 2021-07-05 /pmc/articles/PMC8828226/ /pubmed/35310688 http://dx.doi.org/10.1002/deo2.12 Text en © 2021 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Shitani, Masahiro
Ogino, Jiro
Akahonai, Masakazu
Isosaka, Mai
Ota, Shigenori
Tayama, Yoshiko
Ueki, Tomomi
Tsuruma, Tetsuhiro
Adachi, Takeya
Hirata, Koichi
Nakase, Hiroshi
Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
title Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
title_full Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
title_fullStr Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
title_full_unstemmed Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
title_short Use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
title_sort use of endoscopic ultrasound‐guided fine needle aspiration of the pancreas to diagnose a case of primary linitis plastica of the colon with retroperitoneal dissemination
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828226/
https://www.ncbi.nlm.nih.gov/pubmed/35310688
http://dx.doi.org/10.1002/deo2.12
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