title: Multiple pancreatic metastases from malignant melanoma: Conclusive diagnosis with endoscopic ultrasound-guided fine needle aspiration.
abstract: Pancreatic metastases are rare, ranging from 2% to 5% of pancreatic malignancies. Differentiating a primary pancreatic malignancy from a metastasis can be difficult due to similarities on imaging findings, but is crucial to ensure proper treatment. Although transabdominal ultrasound, computed tomography, and magnetic resonance imaging provide useful images, endoscopic ultrasound (EUS) with fine needle aspiration (FNA) is often needed to provide a cytologic diagnosis. Here, we present a unique case of malignant melanoma with pancreatic metastases. It is important for clinicians to recognize the possibility of melanoma metastasizing to the pancreas and the role of EUS with FNA in providing cytological confirmation.
authors.affiliation: Department of Internal Medicine, University of Texas Medical School at Houston, Houston, TX, USA.
authors.forename: Tanima
authors.initials: T
authors.lastname: Jana
authors.affiliation: Department of Cytopathology, Division of Pathology and Lab Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Nancy P
authors.initials: NP
authors.lastname: Caraway
authors.affiliation: Department of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwakamatsu, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Irisawa
authors.affiliation: Department of Gastroenterology, Hepatology and Nutrition, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Manoop S
authors.initials: MS
authors.lastname: Bhutani
keywords: Endoscopic ultrasound; endoscopic ultrasound-fine needle aspiration; melanoma; metastatic melanoma; pancreatic metastasis