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首页> 外文期刊>Clinical journal of gastroenterology >Postoperative recurrence from tract seeding after use of EUS-FNA for preoperative diagnosis of cancer in pancreatic tail
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Postoperative recurrence from tract seeding after use of EUS-FNA for preoperative diagnosis of cancer in pancreatic tail

机译：在使用EUS-FNA后的道播种术后复发术后胰岛术前术前诊断

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摘要

A 50-year-old male underwent abdominal computed tomography at a city hospital in Japan, which revealed a tumor 38 mm in diameter in the tail of the pancreas. Based on findings from endoscopic ultrasonography-guided fine needle aspiration using a 22-gauge needle with a side hole, the tumor was diagnosed as an invasive ductal carcinoma. The patient was referred to our hospital and underwent a distal pancreatectomy. Esophagogastroduodenoscopy performed as part of a medical checkup at another hospital 2 years later revealed a 20-mm-sized submucosal tumor in the posterior wall of the upper body of the stomach. Examination of a biopsy specimen obtained from the top of the lesion revealed adenocarcinoma. Partial resection of the stomach was performed and pathological findings showed an adenocarcinoma in all layers of the stomach wall, consistent with recurrence derived from needle tract seeding of the previously excised cancerous tumor from the pancreatic tail. Additional experimentation performed for confirmation with an agar model showed that agar on the deep side leaked to the shallow side following puncture with a needle with a side hole used with a slow-pull technique.
机译：在日本的一个城市医院的一个50岁的男性接受了腹部计算断层扫描，这在胰腺尾部揭示了38毫米的直径。基于使用具有侧孔的22型计针的内窥镜超声引导的细针抽吸的发现，肿瘤被诊断为侵入性导管癌。患者被称为我们的医院并进行了远端胰腺切除术。作为2年的另一家医院的医学检查的一部分进行的食管古古代透视表明，胃的上部后壁中显示出20毫米尺寸的粘膜肿瘤。检查从病变的顶部获得的活检标本显示出腺癌。进行胃壁的部分切除术，病理发现显示了胃壁的所有层中的腺癌，与从胰尾从胰尾衍生的针道播种的复发均匀。用琼脂模型进行确认进行的另外的实验表明，深一侧的琼脂泄漏到浅侧，随着带有慢拉技术的侧孔穿刺。

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