首页> 美国卫生研究院文献>CytoJournal >Falling under the umbrella cells: A single institutional experience and literature review of urothelial carcinoma presenting as a primary pancreatic mass on endoscopic ultrasound-guided fine-needle aspiration
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Falling under the umbrella cells: A single institutional experience and literature review of urothelial carcinoma presenting as a primary pancreatic mass on endoscopic ultrasound-guided fine-needle aspiration

机译:落入伞状细胞下:内镜超声引导下细针穿刺作为主要胰腺肿块的尿路上皮癌的单一机构经验和文献综述

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摘要

Metastases to the pancreas are much less common than primary pancreatic lesions, and there are few reports in the literature of metastatic urothelial carcinoma (UC) found in the pancreas. We report two cases of metastatic UC mimicking a primary pancreatic lesion. Two female patients, aged 48 and 83 years, presented with isolated pancreatic lesions causing obstructive jaundice suspicious for pancreatic adenocarcinoma and underwent endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with rapid on-site evaluation (ROSE). On cytopathology, the lesions were found to be UC, confirmed with immunohistochemical (IHC) staining. UC rarely metastasizes to the pancreas, and diagnosis through EUS-FNA can be challenging. However, the utilization of ROSE, dedicated cell block passes, and IHC have proved to be effective in obtaining this unusual pancreatic diagnosis by EUS-FNA.
机译:胰腺转移远少于原发性胰腺病变,并且在胰腺中发现的转移性尿路上皮癌(UC)文献报道很少。我们报告了转移性UC模仿原发性胰腺病变的两个案例。两名年龄分别为48岁和83岁的女性患者出现孤立的胰腺病变,引起可疑胰腺腺癌的黄疸,并接受了内镜超声引导下细针穿刺术(EUS-FNA),并进行了快速现场评估(ROSE)。在细胞病理学上,发现病变为UC,并通过免疫组化(IHC)染色证实。 UC很少转移到胰腺,通过EUS-FNA进行诊断可能具有挑战性。但是,ROSE,专用细胞阻滞通过和IHC的利用已被证明可有效地通过EUS-FNA获得这种异常的胰腺诊断。

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