EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer

Background. The pancreas as a site of metastasis of other primary tumors is a rare event. Pancreatic metastases may occur years after the start of treatment of a neoplasm of another organ or may be the initial manifestation of an unidentified primary tumor. The most commonly reported primary sites f...

Full description

Saved in:
Bibliographic Details
Main Authors: Samuel Galante Romanini, Juan Pablo Román Serrano, Juliana Silveira Lima de Castro, Isabela Trindade Torres, Alex Ingold, André Lucchiari Borini, Luiz Augusto Sanches Zulske, Maria Bruna Feitosa Matias, Jéssica Said de Marchi, José Andrés Sanchez Pulla, José Celso Ardengh
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2020/7136897
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832547149690175488
author Samuel Galante Romanini
Juan Pablo Román Serrano
Juliana Silveira Lima de Castro
Isabela Trindade Torres
Alex Ingold
André Lucchiari Borini
Luiz Augusto Sanches Zulske
Maria Bruna Feitosa Matias
Jéssica Said de Marchi
José Andrés Sanchez Pulla
José Celso Ardengh
author_facet Samuel Galante Romanini
Juan Pablo Román Serrano
Juliana Silveira Lima de Castro
Isabela Trindade Torres
Alex Ingold
André Lucchiari Borini
Luiz Augusto Sanches Zulske
Maria Bruna Feitosa Matias
Jéssica Said de Marchi
José Andrés Sanchez Pulla
José Celso Ardengh
author_sort Samuel Galante Romanini
collection DOAJ
description Background. The pancreas as a site of metastasis of other primary tumors is a rare event. Pancreatic metastases may occur years after the start of treatment of a neoplasm of another organ or may be the initial manifestation of an unidentified primary tumor. The most commonly reported primary sites for pancreatic metastases are the kidneys, lungs, breast, bowel, and skin (melanoma). Case Summary. The authors report a case of pancreatic metastasis derived from a primary breast cancer that underwent endoscopic ultrasound fine-needle aspiration (EUS-FNA) core biopsy to obtain tissue, which made it possible to perform an immunohistochemical study. Conclusion. We emphasize the importance of outpatient follow-up after the treatment of a neoplasia and the completion of control exams. In addition, we should always be aware of the finding of a secondary lesion in patients who have already been diagnosed with cancer, even if it is located in unusual organs, as in this case, where two metastases of a breast carcinoma to the pancreas were detected.
format Article
id doaj-art-61a624bf3a284ca880a54ae8bc45f6fa
institution Kabale University
issn 2090-6528
2090-6536
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Case Reports in Gastrointestinal Medicine
spelling doaj-art-61a624bf3a284ca880a54ae8bc45f6fa2025-02-03T06:45:49ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/71368977136897EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast CancerSamuel Galante Romanini0Juan Pablo Román Serrano1Juliana Silveira Lima de Castro2Isabela Trindade Torres3Alex Ingold4André Lucchiari Borini5Luiz Augusto Sanches Zulske6Maria Bruna Feitosa Matias7Jéssica Said de Marchi8José Andrés Sanchez Pulla9José Celso Ardengh10Gastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilDepartment of Radiology, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, BrazilHospital do Servidor Público Municipal, São Paulo, BrazilGastrointestinal Endoscopy, Department of Gastrointestinal Endoscopy, Hospital 9 de Julho, São Paulo, BrazilBackground. The pancreas as a site of metastasis of other primary tumors is a rare event. Pancreatic metastases may occur years after the start of treatment of a neoplasm of another organ or may be the initial manifestation of an unidentified primary tumor. The most commonly reported primary sites for pancreatic metastases are the kidneys, lungs, breast, bowel, and skin (melanoma). Case Summary. The authors report a case of pancreatic metastasis derived from a primary breast cancer that underwent endoscopic ultrasound fine-needle aspiration (EUS-FNA) core biopsy to obtain tissue, which made it possible to perform an immunohistochemical study. Conclusion. We emphasize the importance of outpatient follow-up after the treatment of a neoplasia and the completion of control exams. In addition, we should always be aware of the finding of a secondary lesion in patients who have already been diagnosed with cancer, even if it is located in unusual organs, as in this case, where two metastases of a breast carcinoma to the pancreas were detected.http://dx.doi.org/10.1155/2020/7136897
spellingShingle Samuel Galante Romanini
Juan Pablo Román Serrano
Juliana Silveira Lima de Castro
Isabela Trindade Torres
Alex Ingold
André Lucchiari Borini
Luiz Augusto Sanches Zulske
Maria Bruna Feitosa Matias
Jéssica Said de Marchi
José Andrés Sanchez Pulla
José Celso Ardengh
EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer
Case Reports in Gastrointestinal Medicine
title EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer
title_full EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer
title_fullStr EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer
title_full_unstemmed EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer
title_short EUS-FNA Diagnosis with Core Biopsy of Pancreatic Metastases from Primary Breast Cancer
title_sort eus fna diagnosis with core biopsy of pancreatic metastases from primary breast cancer
url http://dx.doi.org/10.1155/2020/7136897
work_keys_str_mv AT samuelgalanteromanini eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT juanpabloromanserrano eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT julianasilveiralimadecastro eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT isabelatrindadetorres eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT alexingold eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT andrelucchiariborini eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT luizaugustosancheszulske eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT mariabrunafeitosamatias eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT jessicasaiddemarchi eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT joseandressanchezpulla eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer
AT josecelsoardengh eusfnadiagnosiswithcorebiopsyofpancreaticmetastasesfromprimarybreastcancer