Pleural metastases from pancreatic cancer diagnosed by EUS-guided FNA

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Presentation transcript:

Pleural metastases from pancreatic cancer diagnosed by EUS-guided FNA Ihab I. El Hajj, MD, MPH, Leticia Luz, MD Gastrointestinal Endoscopy Volume 76, Issue 3, Pages 703-705 (September 2012) DOI: 10.1016/j.gie.2012.04.449 Copyright © 2012 Terms and Conditions

Figure 1 Positron emission tomography—CT scan of the chest showing abnormal uptake in 3 pleural-based nodules. The first is located in the anterior mediastinum (arrow). The other 2 are located in the posterior mediastinum, on the anterolateral (open arrowhead) and posterolateral (full arrowhead) sides, respectively. of the thoracic aorta. Gastrointestinal Endoscopy 2012 76, 703-705DOI: (10.1016/j.gie.2012.04.449) Copyright © 2012 Terms and Conditions

Figure 2 EUS view of the lesion in Fig. 1 located in the posterior mediastinum and anterolateral to the thoracic aorta (open arrowhead). Gastrointestinal Endoscopy 2012 76, 703-705DOI: (10.1016/j.gie.2012.04.449) Copyright © 2012 Terms and Conditions

Figure 3 Air-dried fine-needle aspirate specimen from the lesion in Fig. 2 demonstrating tumor cells with marked nuclear crowding and overlap (Diff Quik stain, orig. mag. ×400). Gastrointestinal Endoscopy 2012 76, 703-705DOI: (10.1016/j.gie.2012.04.449) Copyright © 2012 Terms and Conditions

Figure 4 EUS view of the lesion in Fig. 1 located in the posterior mediastinum and posterolateral to the thoracic aorta (full arrowhead). The aorta is identified between the lesion and the echoendoscope. Gastrointestinal Endoscopy 2012 76, 703-705DOI: (10.1016/j.gie.2012.04.449) Copyright © 2012 Terms and Conditions