Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
권호 표지

Diagnosis of Metastatic Undifferentiated Sarcoma by Endoscopic Ultrasound Guided Fine Needle Aspiration (EUS-FNA)

내시경초음파 세침흡인술을 통한 전이성 미분화육종의 진단

  • Si Young Kim (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Hee Seung Lee (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon Jae Chung (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jeong Youp Park (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Seungmin Bang (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Seung Woo Park (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Si Young Song (Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine)
  • 김시영 (연세대학교 의과대학 내과학교실, 소화기내과) ;
  • 이희승 (연세대학교 의과대학 내과학교실, 소화기내과) ;
  • 정문재 (연세대학교 의과대학 내과학교실, 소화기내과) ;
  • 박정엽 (연세대학교 의과대학 내과학교실, 소화기내과) ;
  • 방승민 (연세대학교 의과대학 내과학교실, 소화기내과) ;
  • 박승우 (연세대학교 의과대학 내과학교실, 소화기내과) ;
  • 송시영 (연세대학교 의과대학 내과학교실, 소화기내과)
  • Received : 2017.06.09
  • Accepted : 2017.12.17
  • Published : 2017.12.31
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Abstract

A-49-year-old male patient with no specific medical history was admitted to the clinic because of persistent epigastric pain radiating to back for 4 months. He had multiple parenchymal tumors in body and tail of pancreas, para-spinal muscle, and mediastinum on abdomen CT image. Cytologic examination of the pancreas which was done by endoscopic ultrasound guided fine needle aspiration (EUS-FNA) showed adenocarcinoma, whereas histological examination of the para-spinal mass showed undifferentiated sarcoma. Histologic examination of the pancreatic mass was made through endoscopic ultrasound guided fine needle biopsy (EUS-FNB) for accurate diagnosis, and the histologic examination of both the pancreas and posterior mediastinal mass showed the same undifferentiated sarcoma. Therefore, we reviewed the cytopathic tissue obtained from the pancreas for the first time, and it was confirmed to be similar to histologic findings in the mediastinal mass.

Keywords

References

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