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Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature
BACKGROUND: Pancreatic metastases from squamous cell lung carcinoma (SCLC) are unusual. These lesions are often asymptomatic and detected incidentally or during follow-up investigations, occasionally several years after removal of the primary tumor. CASE SUMMARY: A 56-year-old male with SCLC develop...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329848/ https://www.ncbi.nlm.nih.gov/pubmed/36051994 http://dx.doi.org/10.4253/wjge.v14.i7.455 |
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author | Rais, Kaouthar El Eulj, Oumayma El Moutaoukil, Najoua Kamaoui, Imane Bennani, Amal Kharrasse, Ghizlane Zazour, Abdelkrim Khannoussi, Wafaa Ismaili, Zahi |
author_facet | Rais, Kaouthar El Eulj, Oumayma El Moutaoukil, Najoua Kamaoui, Imane Bennani, Amal Kharrasse, Ghizlane Zazour, Abdelkrim Khannoussi, Wafaa Ismaili, Zahi |
author_sort | Rais, Kaouthar |
collection | PubMed |
description | BACKGROUND: Pancreatic metastases from squamous cell lung carcinoma (SCLC) are unusual. These lesions are often asymptomatic and detected incidentally or during follow-up investigations, occasionally several years after removal of the primary tumor. CASE SUMMARY: A 56-year-old male with SCLC developed jaundice 1 mo after the cancer diagnosis. An abdominal computed tomography (CT) scan showed a mass in the pancreatic head with distention of both intra- and extrahepatic biliary ducts. Endoscopic retrograde cholangiopancreatography and sphincterotomy were performed first, culminating with plastic biliary stent placement. Cytological examination of the pancreatic mass sample collected by fine-needle aspiration (FNA) under endoscopic ultrasound (EUS) guidance revealed the presence of malignant cells compatible with well-differentiated squamous cell carcinoma. After liver function normalized, chemotherapy was initiated with carboplatin and paclitaxel; however, 4 d later, the patient presented dysphagia. Cervico-thoraco-abdominal CT showed tracheoesophageal fistula and stent migration. After replacement with a 10 cm/10 mm uncovered metallic biliary stent and treatment of the tracheoesophageal fistula with a fully covered esophageal stent, the patient was able to start oral feeding progressively. He died 9 mo after the initial diagnosis. CONCLUSION: The diagnosis of pancreatic metastasis from SCLC is challenging for clinicians. EUS-FNA is the primary exam for confirmatory diagnosis. |
format | Online Article Text |
id | pubmed-9329848 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-93298482022-08-31 Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature Rais, Kaouthar El Eulj, Oumayma El Moutaoukil, Najoua Kamaoui, Imane Bennani, Amal Kharrasse, Ghizlane Zazour, Abdelkrim Khannoussi, Wafaa Ismaili, Zahi World J Gastrointest Endosc Case Report BACKGROUND: Pancreatic metastases from squamous cell lung carcinoma (SCLC) are unusual. These lesions are often asymptomatic and detected incidentally or during follow-up investigations, occasionally several years after removal of the primary tumor. CASE SUMMARY: A 56-year-old male with SCLC developed jaundice 1 mo after the cancer diagnosis. An abdominal computed tomography (CT) scan showed a mass in the pancreatic head with distention of both intra- and extrahepatic biliary ducts. Endoscopic retrograde cholangiopancreatography and sphincterotomy were performed first, culminating with plastic biliary stent placement. Cytological examination of the pancreatic mass sample collected by fine-needle aspiration (FNA) under endoscopic ultrasound (EUS) guidance revealed the presence of malignant cells compatible with well-differentiated squamous cell carcinoma. After liver function normalized, chemotherapy was initiated with carboplatin and paclitaxel; however, 4 d later, the patient presented dysphagia. Cervico-thoraco-abdominal CT showed tracheoesophageal fistula and stent migration. After replacement with a 10 cm/10 mm uncovered metallic biliary stent and treatment of the tracheoesophageal fistula with a fully covered esophageal stent, the patient was able to start oral feeding progressively. He died 9 mo after the initial diagnosis. CONCLUSION: The diagnosis of pancreatic metastasis from SCLC is challenging for clinicians. EUS-FNA is the primary exam for confirmatory diagnosis. Baishideng Publishing Group Inc 2022-07-16 2022-07-16 /pmc/articles/PMC9329848/ /pubmed/36051994 http://dx.doi.org/10.4253/wjge.v14.i7.455 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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. |
spellingShingle | Case Report Rais, Kaouthar El Eulj, Oumayma El Moutaoukil, Najoua Kamaoui, Imane Bennani, Amal Kharrasse, Ghizlane Zazour, Abdelkrim Khannoussi, Wafaa Ismaili, Zahi Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature |
title | Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature |
title_full | Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature |
title_fullStr | Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature |
title_full_unstemmed | Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature |
title_short | Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature |
title_sort | solitary pancreatic metastasis from squamous cell lung carcinoma: a case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329848/ https://www.ncbi.nlm.nih.gov/pubmed/36051994 http://dx.doi.org/10.4253/wjge.v14.i7.455 |
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