Obstructive jaundice in a patient with mycosis fungoides metastatic to the pancreas. EUS findings.
BACKGROUND
Cutaneous T-cell lymphomas such as mycosis fungoides are uncommon neoplasms with a long and often relatively indolent course. Some eventually metastasize to lymph nodes or visceral organs but there are to our knowledge only two prior reports which describe clinically relevant pancreas involvement.


METHODS
We present the case of a 52-year-old man with mycosis fungoides who developed abdominal pain and jaundice. Endoscopic ultrasound guided-fine needle aspiration biopsies of a peculiar infiltrative appearing mass in the head of the pancreas revealed T-cell lymphoma cells.


CONCLUSIONS
There is an increased incidence of second primaries in cutaneous T-cell lymphomas and a biopsy diagnosis of new intra-abdominal masses is essential.
Gottlieb
Klaus
K
Endoscopic Ultrasound, Deaconess Medical Center Department of Pathology, Cancer Care Northwest, Spokane, WA, USA. klausg@u.washington.edu
Anders
Karl
K
Kaya
Hakan
H
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003520:Cyclophosphamide / Q000627:therapeutic use; D018450:Disease Progression; D004317:Doxorubicin / Q000627:therapeutic use; D005047:Etoposide / Q000627:therapeutic use; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009182:Mycosis Fungoides / Q000175:diagnosis* / Q000188:drug therapy; D010190:Pancreatic Neoplasms / Q000188:drug therapy / Q000556:secondary*; D011241:Prednisone / Q000627:therapeutic use; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014750:Vincristine / Q000627:therapeutic use
D014750:Vincristine; D005047:Etoposide; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone