2013
DOI: 10.1186/1471-230x-13-63
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Abstract: BackgroundMetastases to the pancreas are rare, and usually mistaken for primary pancreatic cancers. This study aimed to describe the histology results of solid pancreatic tumours obtained by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for diagnosis of metastases to the pancreas.MethodsIn a retrospective review, patients with pancreatic solid tumours and history of previous extrapancreatic cancer underwent EUS-FNA from January/1997 to December/2010. Most patients were followed-up until death a… Show more

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Cited by 42 publications
(57 citation statements)
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“…Although the diagnostic accuracy of EUS-FNA for pancreatic lesions is considered to be high and histopathological evaluation has been demonstrated to be a highly sensitive method for diagnosing primary pancreatic cancer or metastases from colorectal cancer, few reports have described the diagnosis of patients using the combination of EUS-FNA and immunohistochemical staining (Table 2). Thus far, only 7 reports, involving 14 cases (including the present case), have been described (4,7-11). Among these reports, immunohistochemical staining of EUS-FNA specimens was performed in 8 cases (CK20 and CK7 staining in 4 cases; CK20, CK7, and CDX2 staining in 4 cases), and a comparison between the EUS-FNA specimens and the resected pancreas specimens was only possible in 3 cases.…”
Section: Discussionmentioning
confidence: 85%
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“…Although the diagnostic accuracy of EUS-FNA for pancreatic lesions is considered to be high and histopathological evaluation has been demonstrated to be a highly sensitive method for diagnosing primary pancreatic cancer or metastases from colorectal cancer, few reports have described the diagnosis of patients using the combination of EUS-FNA and immunohistochemical staining (Table 2). Thus far, only 7 reports, involving 14 cases (including the present case), have been described (4,7-11). Among these reports, immunohistochemical staining of EUS-FNA specimens was performed in 8 cases (CK20 and CK7 staining in 4 cases; CK20, CK7, and CDX2 staining in 4 cases), and a comparison between the EUS-FNA specimens and the resected pancreas specimens was only possible in 3 cases.…”
Section: Discussionmentioning
confidence: 85%
“…However, more recently, several reports have been published regarding the use of EUS-FNA in the diagnosis of pancreatic metastases (4,7-11). In the diagnosis of pancreatic metastases, the sensitivity, specificity, positive and negative predictive values, and the accuracy of the histological analysis of EUS-FNA specimens are reported to be 93.8%, 60%, 93.8%, 60%, and 89%, respectively (11). EUS-FNA is useful for diagnosing pancreatic metastases from RCC due to the features of clear cell (conventional type) RCC and the immunohistochemical findings, which include vimentin and CD10 positivity (23).…”
Section: Discussionmentioning
confidence: 99%
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“…Others have observed the mean and median interval periods for all neoplasms to range from 63.6-99.0 months to 42.5-108 months, respectively. 5,14,16,19,20,23,33 Waters et al reported a mean length of survival after the diagnosis of RCC metastasis to the pancreas of 38.4 months. 25 Another study noted a mean interval period of 81.6 months from the time of nephrectomy for RCC to metastasis to the pancreas.…”
Section: Discussionmentioning
confidence: 99%
“…FNA may be useful in pathological diagnosis when a specimen is difficult to remove surgically. EUS-FNA is a minimally invasive and accurate method of sampling lesions of the pancreas (8,27); it has been shown to have an accuracy of 89% in diagnosing pancreatic metastases (28).…”
Section: Discussionmentioning
confidence: 99%