title: Metastasis-Induced Acute Pancreatitis Successfully Treated with Chemotherapy and Radiotherapy in a Patient with Small Cell Lung Cancer.
abstract: Although involvement of pancreas is a common finding in small cell lung cancer (SCLC), metastasis-induced acute pancreatitis (MIAP) is very rare. A 50-year-old female with SCLC who had limited disease and achieved full response after treatment presented with acute pancreatitis during her follow-up. The radiologic studies revealed a small area causing obliteration of the pancreatic duct without mass in the pancreatic neck, and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) confirmed the metastasis of SCLC. The patient was treated successfully with systemic chemotherapy and radiotherapy delivered to pancreatic field. In SCLC, cases of MIAP can be encountered with conventional computed tomography with no mass image, and positron emission tomography and EUS-FNA can be useful for diagnosis of such cases. Aggressive systemic and local treatment can prolong survival, especially in patients with good performance status.
authors.affiliation: Department of Medical Oncology, Acibadem University School of Medicine, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Kerem
authors.initials: K
authors.lastname: Okutur
authors.affiliation: Department of Medical Oncology, Acibadem University School of Medicine, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Bozkurt
authors.affiliation: Department of Medical Oncology, Acibadem Maslak Hospital, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Taner
authors.initials: T
authors.lastname: Korkmaz
authors.affiliation: Department of Radiology, Acibadem University School of Medicine, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Karaaslan
authors.affiliation: Department of Nuclear Medicine, Acibadem University School of Medicine, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Guner
authors.affiliation: Department of Pathology, Acibadem Maslak Hospital, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Suha
authors.initials: S
authors.lastname: Goksel
authors.affiliation: Department of Medical Oncology, Acibadem University School of Medicine, Buyukdere Caddesi, No. 40, Sariyer, 34453 Istanbul, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Demir