title: Pancreatic metastasis in a case of small cell lung carcinoma diagnosed by EUS.
abstract: Small-cell lung carcinoma represents a group of highly malignant tumors characterized by early and widespread metastais even at the time of diagnosis. However, the pancreas is a relatively infrequent site of metastasis by this neoplasm. A 57-year-old patient was admitted with an intense cough and complaints of abdominal discomfort. A chest X-Ray showed no evidence of lung mass but did show signs of lymphadenopathy. In addition, there was little evidence for malignancy based on a transbronchial needle aspiration. In contrast, there was a mass in the head portion of the pancreas. We diagnosed a case of small-cell lung carcinoma metastasis in the pancreas by using an endoscopic ultrasound-guided fine-needle aspiration biopsy. This case demonstrates that endoscopic ultrasound-guided fine-needle aspiration biopsy is an important tool in the diagnosis of metastatic pancreatic neoplasms.
authors.affiliation: Department of Gastroenterology, Gazi University Faculty of Medicine, Ankara, Turkey. drmustafacen@gmail.com.
authors.forename: Tarkan
authors.initials: T
authors.lastname: Karakan
authors.forename: Mustafa
authors.initials: M
authors.lastname: Cengiz
authors.forename: Mehmet
authors.initials: M
authors.lastname: İbiş
authors.forename: Nalan
authors.initials: N
authors.lastname: Akyürek
authors.forename: Selahattin
authors.initials: S
authors.lastname: Ünal
mesh_terms: D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D055752:Small Cell Lung Carcinoma / Q000000981:diagnostic imaging / Q000556:secondary*