1. Endoscopic Ultrasound Fine-Needle Aspiration Detection of Extravascular Migratory Metastasis From a Remotely Located Pancreatic Cancer 
Michael J. Levy, Ferga C. Gleeson, Lizhi Zhang 
Clinical Gastroenterology and Hepatology 
Volume 7, Issue 2, Pages (February 2009)
DOI: /j.cgh
Copyright © 2009 AGA Institute Terms and Conditions

2. Figure 1
Pancreas protocol CT of the abdomen reveals a very subtle, hypoenhancing pancreatic body mass resulting in postobstructive ductal and parenchymal changes.
Clinical Gastroenterology and Hepatology 2009 7, DOI: ( /j.cgh )
Copyright © 2009 AGA Institute Terms and Conditions

3. Figure 2
Linear EUS examination identifies a 1.4 × 1.1 cm pancreatic body mass that appears confined to the pancreas (stage T1).
Clinical Gastroenterology and Hepatology 2009 7, DOI: ( /j.cgh )
Copyright © 2009 AGA Institute Terms and Conditions

4. Figure 3
Linear EUS and Power Doppler demonstrate a thin hypoechoic band (cuffing) surrounding the celiac trunk, with extension along the left gastric artery.
Clinical Gastroenterology and Hepatology 2009 7, DOI: ( /j.cgh )
Copyright © 2009 AGA Institute Terms and Conditions

5. Figure 4 EUS FNA of the celiac trunk hypoechoic cuffing.
Clinical Gastroenterology and Hepatology 2009 7, DOI: ( /j.cgh )
Copyright © 2009 AGA Institute Terms and Conditions

6. Figure 5
Cytologic analysis of the EUS FNA specimen reveals a metastasis from a well-differentiated pancreatic adenocarcinoma (Papanicolaou stain; original magnification, 400×).
Clinical Gastroenterology and Hepatology 2009 7, DOI: ( /j.cgh )
Copyright © 2009 AGA Institute Terms and Conditions