El Hajj Ihab I, Lawrence Karen A, Tirkes Temel, Shahda Safi, Sherman Stuart
Division of Gastroenterology Indiana University School of Medicine Indianapolis IN USA.
Division of Gastroenterology Saint George Hospital University Medical Center University of Balamand Beirut Lebanon.
Clin Case Rep. 2018 May 8;6(7):1368-1370. doi: 10.1002/ccr3.1571. eCollection 2018 Jul.
The finding of gastric metachronous metastasis, several years after the diagnosis of primary lung large cell carcinoma is rare and incidental. Even more extremely rare is the finding of a synchronous primary pancreas cancer. EUS-FNA with immunohistochemistry is useful for diagnosing metastatic lesions and differentiating those from synchronous primary lesions.
在原发性肺大细胞癌诊断数年之后发现胃异时性转移很少见且属偶然情况。更极其罕见的是发现同步性原发性胰腺癌。超声内镜引导下细针穿刺活检术结合免疫组化有助于诊断转移性病变并将其与同步性原发性病变区分开来。