Detection of pancreatic metastases by EUS-guided fine-needle aspiration

Pancreatic metastases: CT and MRI findings

“…Even in patients not amenable to surgery, a definitive tissue diagnosis can be helpful in evaluating the possibility and type of chemotherapy. In these cases and in controversial diagnostic cases, CT can be considered as an important tool in providing guidance in order to obtain a definitive tissue diagnosis (1,2,7,9).…”

“…The disparity in prognosis and management of patients with primary and secondary pancreatic tumors, as well as the fact that in very selected cases a radical surgical resection can be considered as treatment of pancreatic metastases and achieve prolonged survival, underlines the importance of detection and characterization of these lesions on computed tomography (CT) and magnetic resonance imaging (MRI) (1,6,7). CT can also be considered as an important tool in providing guidance in order to obtain a definitive tissue diagnosis in controversial cases (1,2,7).…”

Role of Endoscopic Ultrasound and Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Diagnosing Metastasis to the Pancreas: A Tertiary Center Experience

“…Although most solid pancreatic masses are pancreatic ductal adenocarcinomas (PDAC), several differential diagnoses should be suspected, including pancreatic neuroendocrine tumors (PNET), focal chronic pancreatitis and, rarely, metastatic lesions in the pancreas (MP) [1,2,3]. Reports on the characteristics that can be used to differentiate MP from PDAC based on endoscopic ultrasound (EUS) findings alone are scarce [1,3].…”

“…Reports on the characteristics that can be used to differentiate MP from PDAC based on endoscopic ultrasound (EUS) findings alone are scarce [1,3]. EUS-fine-needle aspiration (EUS-FNA) is the most accurate method of tissue sampling from pancreatic lesions, including patients with negative yields on previous endoscopic retrograde cholangiopancreatography [4,5,6].…”

Métastase pancréatique métachrone d'un adénocarcinome rectal : à propos d'un cas

“…Les métastases pancréatiques sont peu fréquentes et représen-tent environ 10 % des masses pancréatiques biopsiées sous échoendoscopie [1]. Dans une étude ayant inclus 269 patients opérés pour tumeur maligne du pancréas, il s'agissait de métas-tases pancréatiques dans 3 % des cas dont le primitif était un cancer rénal dans tous les cas [2].…”