Isolated pancreatic metastases from a bronchogenic small cell carcinoma.
We describe the case of a 60 year old female smoker who presented with a three month history of weight loss (14 Kg), generalized abdominal discomfort and malaise. Chest radiography demonstrated a mass projected inferior to the hilum of the right lung. Computed Tomography of thorax confirmed a lobulated lesion in the right infrahilar region and subsequent staging abdominal CT demonstrated a low density lesion in the neck of the pancreas. Percutaneous Ultrasound guided pancreatic biopsy was performed, histology of which demonstrated pancreatic tissue containing a highly necrotic small cell undifferentiated carcinoma consistent with metastatic small cell carcinoma of the bronchus.
Walshe
T
T
Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo. walshetriona@hotmail.com
Martin
S T
ST
Khan
M F
MF
Egan
A
A
Ryan
R S
RS
Tobbia
I
I
Waldron
R
R
D000970:Antineoplastic Agents / Q000627:therapeutic use; D000972:Antineoplastic Agents, Phytogenic / Q000627:therapeutic use; D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D016190:Carboplatin / Q000627:therapeutic use; D018288:Carcinoma, Small Cell / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D005047:Etoposide / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary*; D011859:Radiography; D014463:Ultrasonography
D000970:Antineoplastic Agents; D000972:Antineoplastic Agents, Phytogenic; D005047:Etoposide; D016190:Carboplatin