Re-recurrence after distal gastrectomy for recurrence caused by needle tract seeding during endoscopic ultrasound-guided fine-needle aspiration of a pancreatic adenocarcinoma

Iida, Tomoya; Adachi, Takeya; Ohe, Yuki; Nakagaki, Suguru; Yabana, Takashi; Kondo, Yoshihiro; Nakase, Hiroshi

doi:10.1055/s-0042-116431

Cited by 17 publications

(22 citation statements)

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“…There are no reports for the treatment methods for the remaining six cases. Additionally, Iida et al[ 26 ] have reported that a patient with pancreatic cancer had an EUS-FNA-related tumor seeding on the lower posterior gastric wall. At 21 mo after distal gastrectomy, a recurrent lesion was found on the upper posterior gastric wall.…”

Section: Summary Of Cases On Needle Tract Seedingmentioning

confidence: 99%

Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

Gao

Shen

et al. 2020

WJG

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Endoscopic ultrasound-guided minimally invasive tissue acquisition can be performed by two approaches as follows: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB). These have been evolved into leading approaches and widely used for the histological diagnosis of tumors in the gastrointestinal tract and adjacent organs. However, the role of EUS-FNA and EUS-FNB in disease diagnosis and evaluation remains controversial. Although the incidence of surgery-associated complications remains low, the consequences of needle tract seeding can be serious or even life-threatening. Recently, increasing case reports of needle tract seeding are emerging, especially caused by EUS-FNA. This complication needs serious consideration. In the present work, we integrated these case reports and the related literature, and summarized the relevant cases and technical characteristics of needle tract seeding caused by EUS-FNA and EUS-FNB. Collectively, our findings provided valuable insights into the prevention and reduction of such serious complication.

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Section: Summary Of Cases On Needle Tract Seedingmentioning

confidence: 99%

Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

Gao

Shen

et al. 2020

WJG

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“…Methods of obtaining histological tissue from the liver such as liver biopsy and EUS-FNA carry a risk of needle-tract seeding in patients with malignant tumors [12,13]. In the present case, the mass in the left lobe of the liver resembled a metastasis from a GB cancer on CT at the time of the first surgery.…”

Section: Discussionmentioning

confidence: 64%

Recurrent Hepatic Inflammatory Pseudotumor in Asynchronism After Surgery of Inflammatory Pseudotumor Associated With Granulomatous Cholangitis

et al. 2019

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A 64-year-old man was referred to our hospital for investigation of thickening of the gallbladder wall and hepatic mass. Repeated endoscopic ultrasound-guided fine-needle aspiration examinations of these lesions excluded malignant diseases. Cholecystectomy and resection of lateral section confirmed xanthogranulomatous cholecystitis and inflammatory pseudotumor (IPT) associated with granulomatous cholangitis. Ten months after surgery, a new lesion appeared in the liver medial section, associated with fluorodeoxyglucose accumulation. After performing resection of the affected segment, recurrent IPT related with granulomatous cholangitis was diagnosed. No subsequent recurrence was seen during follow-up. This represents the first report of recurrent hepatic IPT originating from granulomatous cholangitis after resection of xanthogranulomatous cholecystitis and IPT caused by granulomatous cholangitis.

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“…To the best of our knowledge, this is the first report of a gastric submucosal tumor arising from needle tract seeding along with paragastric lymph node metastasis. Since the first case was reported by Hirooka et al in 2003, a total of 18 cases including the present case have been described, and 13 cases were reported within the last 5 years (Table 1) [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Among these cases, there was no pancreatic tumor located in the head of the pancreas.…”

Section: Discussionmentioning

confidence: 72%

Needle tract seeding recurrence of pancreatic cancer in the gastric wall with paragastric lymph node metastasis after endoscopic ultrasound-guided fine needle aspiration followed by pancreatectomy: a case report and literature review

et al. 2020

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Background: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has high accuracy and a low complication rate; therefore, it has been widely used as a useful tool for diagnosis of and to determine treatment strategies for pancreatic tumors. Recently, reports of the recurrence of needle tract seeding after EUS-FNA are emerging. Case presentation: An 83-year-old woman was referred to our hospital to undergo further examination of her pancreatic tumor. Multidetector computed tomography (MDCT) revealed a 25-mm-diameter mass in the pancreatic body. She underwent EUS-FNA (transgastric, 22-G needle, 2 passes) and was subsequently diagnosed with adenocarcinoma. Distal pancreatosplenectomy followed by adjuvant chemotherapy with S-1 for 6 months was performed. The level of carbohydrate antigen 19-9 gradually increased 22 months after surgery, and MDCT, which was performed 3 months later, revealed a 23-mm low-density mass in the stomach and paragastric lymph node swelling. Gastroendoscopy revealed a submucosal tumor, and endoscopic ultrasound revealed a hypoechoic mass in the submucosa of the gastric wall. Partial gastrectomy with lymph node resection was performed. The pathological findings showed adenocarcinoma extending from the subserosa to the submucosa and lymph node metastasis, consistent with a tumor recurrence from the resected pancreatic tumor. She received adjuvant chemotherapy with S-1; recurrence was not observed for 5 months, at the time of this writing. Conclusion: It is important to pay careful attention to the development of needle tract seeding in patients with pancreatic cancer diagnosed by EUS-FNA. This is the first case of needle tract seeding with lymph node metastasis, highlighting the need for caution and providing novel insight in the postoperative follow-up of patients with pancreatic body/tail cancer.

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Re-recurrence after distal gastrectomy for recurrence caused by needle tract seeding during endoscopic ultrasound-guided fine-needle aspiration of a pancreatic adenocarcinoma

Cited by 17 publications

References 0 publications

Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

Recurrent Hepatic Inflammatory Pseudotumor in Asynchronism After Surgery of Inflammatory Pseudotumor Associated With Granulomatous Cholangitis

Needle tract seeding recurrence of pancreatic cancer in the gastric wall with paragastric lymph node metastasis after endoscopic ultrasound-guided fine needle aspiration followed by pancreatectomy: a case report and literature review

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