Singh Dushyant, Vaidya Omkar U, Sadeddin Esmat, Yousef Osama
Dushyant Singh, Omkar U Vaidya, Esmat Sadeddin, Osama Yousef, University of Missouri Kansas City, School of Medicine, Kansas City, MO 64108, United States.
World J Gastrointest Endosc. 2012 Jul 16;4(7):328-30. doi: 10.4253/wjge.v4.i7.328.
A case is reported of a 50-year-old woman with a history of small-cell lung cancer admitted with pancreatic head lesions, discovered during investigation for obstructive jaundice. Endoscopic ultrasound assisted fine needle aspiration of the pancreatic mass was consistent with small cell carcinoma, presenting as an isolated metastasis from the previously diagnosed lung cancer. Endoscopic retrograde cholangiopancreatography (ERCP) showed extrinsic compression and a bile duct stricture, requiring sphincterotomy and stent insertion. This case highlights that acute pancreatitis and biliary obstruction can occur as a manifestation of small cell lung cancer metastasizing to the pancreas. EUS is a safe, low risk and rapid diagnostic tool in such cases, and ERCP with stenting offers a safe and effective treatment option.
报告了一例50岁女性，有小细胞肺癌病史，因梗阻性黄疸检查时发现胰头病变入院。内镜超声引导下对胰腺肿块进行细针穿刺抽吸，结果与小细胞癌一致，提示为先前诊断的肺癌的孤立转移灶。内镜逆行胰胆管造影（ERCP）显示外在压迫和胆管狭窄，需要进行括约肌切开术和支架置入。该病例突出表明，急性胰腺炎和胆管梗阻可能是小细胞肺癌转移至胰腺的表现。在这种情况下，超声内镜是一种安全、低风险且快速的诊断工具，而ERCP联合支架置入提供了一种安全有效的治疗选择。
