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Isolated pancreatic metastasis from a malignant pleural mesothelioma diagnosed using endoscopic ultrasonography-guided fine needle aspiration biopsy |
Yuki Ishikawa-Kakiya, Hirotsugu Maruyama ∗, Kojiro Tanoue, Shusei Fukunaga, Yasuaki Nagami, Yasuhiro Fujiwara |
Department of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3, Asahimachi, Abeno-ku, Osaka 545-8585, Japan
∗ Corresponding author.
E-mail address: hiromaruyama99@gmail.com (H. Maruyama). |
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Abstract Malignant pleural mesothelioma is a rare and aggressive form of cancer with a poor prognosis [1]. Its progression is mainly a direct invasion from the primary lesion, and metastasis to distant regions rarely occurs. It was found that metastasis of malignant pleural mesothelioma may occur in the liver, adrenal glands, and kidneys in autopsy cases [2]. However, isolated pancreatic metastasis is extremely rare, even in advanced malignant pleural mesothelioma; there are few cases diagnosed by surgery or autopsy. Herein, we report the first case in which endoscopic ultrasonography (EUS) and EUS-guided fine needle aspiration biopsy (EUS-FNAB) were useful in a case of isolated pancreatic metastasis caused by malignant pleural mesothelioma.
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