Case of Solitary Pancreatic Metastasis from Small Cell Lung Cancer

  • Park, Chul (Department of Internal Medicine, College of Medicine, Wonkwang University) ;
  • Kim, Tae Hyeon (Department of Internal Medicine, College of Medicine, Wonkwang University) ;
  • Yun, Ki Jung (Department of Pathology, College of Medicine, Wonkwang University) ;
  • Choi, Soon Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University) ;
  • Lee, Sam Youn (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University) ;
  • Lee, Mi Kyung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University) ;
  • Ryu, Dae Woong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Wonkwang University) ;
  • Yang, Sei Hoon (Department of Internal Medicine, College of Medicine, Wonkwang University)
  • Received : 2012.11.15
  • Accepted : 2012.12.06
  • Published : 2012.12.25

Abstract

Metastasis to the pancreas from extra-pancreatic primary cancers are rare; they commonly present as a manifestation of widespread disease and rarely as an isolated mass of the pancreas. Examinations showed a pancreatic tumor infiltrating the pancreas tail portion and an endoscopic ultrasound guided percutaneous biopsy proved that the lesion was metastatic from the lung carcinoma. Most metastatic cases of the pancreas tend to be discovered in patients with widely disseminated malignant disease. In addition, patients with pancreatic metastasis are often asymptomatic, the metastatic lesions are found incidentally, and are misdiagnosed as primary pancreatic tumors. This report that patient undergoing chemotherapy for a small cell lung cancer, who 1 year and 3 months later, accidentally diagnosed of solitary pancreas metastasis and confirmed histology by needle biopsy using endoscopic ultrasound.

Keywords

Acknowledgement

Supported by : Wonkwang University

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