A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA

Yuta Ogura; Hirochika Toyama; Sachio Terai; Hironori Yamashita; Jun Ishida; Hirotaka Fukuoka; Hidetoshi Gon; Daisuke Tsugawa; Shohei Komatsu; Kaori Kuramitsu; Hiroaki Yanagimoto; Sadaki Asari; Masahiro Kido; Tetsuo Ajiki; Takumi Fukumoto

A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA

Yuta Ogura, Hirochika Toyama, Sachio Terai, Hironori Yamashita, Jun Ishida, Hirotaka Fukuoka, Hidetoshi Gon, Daisuke Tsugawa, Shohei Komatsu, Kaori Kuramitsu, Hiroaki Yanagimoto, Sadaki Asari, Masahiro Kido, Tetsuo Ajiki, Takumi Fukumoto

Research output: Contribution to journal › Article › peer-review

Abstract

A woman in her 80s was diagnosed with pancreatic tail cancer by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). We performed laparoscopic distal pancreatectomy followed by adjuvant chemotherapy with S-1 for 6 months. One year after surgery, contrast-enhanced computed tomography revealed a 15 mm mass in the posterior wall of the gastric body. EUS showed a hypoechoic mass in the muscular layer in the gastric wall, which was diagnosed as adenocarcinoma by FNA. We diagnosed gastric wall recurrence due to needle tract seeding(NTS)following EUS-FNA and performed partial gastrectomy. Histopathological diagnosis was gastric wall recurrence of pancreatic cancer. Since NTS following EUS-FNA can be proven only by the presence of gastric wall recurrence after surgery for pancreatic body or tail cancer, the actual risk of NTS including peritoneal dissemination is not clear and may have been underestimated. In case of resectable pancreatic body or tail cancer, indication for EUS-FNA should be carefully considered.

Original language	English
Pages (from-to)	2011-2013
Number of pages	3
Journal	Gan to kagaku ryoho. Cancer & chemotherapy
Volume	48
Issue number	13
Publication status	Published - 01-12-2021
Externally published	Yes

All Science Journal Classification (ASJC) codes

General Medicine

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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Ogura, Y., Toyama, H., Terai, S., Yamashita, H., Ishida, J., Fukuoka, H., Gon, H., Tsugawa, D., Komatsu, S., Kuramitsu, K., Yanagimoto, H., Asari, S., Kido, M., Ajiki, T., & Fukumoto, T. (2021). A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA. Gan to kagaku ryoho. Cancer & chemotherapy, 48(13), 2011-2013.

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title = "A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA",

abstract = "A woman in her 80s was diagnosed with pancreatic tail cancer by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). We performed laparoscopic distal pancreatectomy followed by adjuvant chemotherapy with S-1 for 6 months. One year after surgery, contrast-enhanced computed tomography revealed a 15 mm mass in the posterior wall of the gastric body. EUS showed a hypoechoic mass in the muscular layer in the gastric wall, which was diagnosed as adenocarcinoma by FNA. We diagnosed gastric wall recurrence due to needle tract seeding(NTS)following EUS-FNA and performed partial gastrectomy. Histopathological diagnosis was gastric wall recurrence of pancreatic cancer. Since NTS following EUS-FNA can be proven only by the presence of gastric wall recurrence after surgery for pancreatic body or tail cancer, the actual risk of NTS including peritoneal dissemination is not clear and may have been underestimated. In case of resectable pancreatic body or tail cancer, indication for EUS-FNA should be carefully considered.",

author = "Yuta Ogura and Hirochika Toyama and Sachio Terai and Hironori Yamashita and Jun Ishida and Hirotaka Fukuoka and Hidetoshi Gon and Daisuke Tsugawa and Shohei Komatsu and Kaori Kuramitsu and Hiroaki Yanagimoto and Sadaki Asari and Masahiro Kido and Tetsuo Ajiki and Takumi Fukumoto",

year = "2021",

month = dec,

day = "1",

language = "English",

volume = "48",

pages = "2011--2013",

journal = "Gan to kagaku ryoho. Cancer \& chemotherapy",

issn = "0385-0684",

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number = "13",

}

Ogura, Y, Toyama, H, Terai, S, Yamashita, H, Ishida, J, Fukuoka, H, Gon, H, Tsugawa, D, Komatsu, S, Kuramitsu, K, Yanagimoto, H, Asari, S, Kido, M, Ajiki, T & Fukumoto, T 2021, 'A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA', Gan to kagaku ryoho. Cancer & chemotherapy, vol. 48, no. 13, pp. 2011-2013.

TY - JOUR

T1 - A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA

AU - Ogura, Yuta

AU - Toyama, Hirochika

AU - Terai, Sachio

AU - Yamashita, Hironori

AU - Ishida, Jun

AU - Fukuoka, Hirotaka

AU - Gon, Hidetoshi

AU - Tsugawa, Daisuke

AU - Komatsu, Shohei

AU - Kuramitsu, Kaori

AU - Yanagimoto, Hiroaki

AU - Asari, Sadaki

AU - Kido, Masahiro

AU - Ajiki, Tetsuo

AU - Fukumoto, Takumi

PY - 2021/12/1

Y1 - 2021/12/1

N2 - A woman in her 80s was diagnosed with pancreatic tail cancer by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). We performed laparoscopic distal pancreatectomy followed by adjuvant chemotherapy with S-1 for 6 months. One year after surgery, contrast-enhanced computed tomography revealed a 15 mm mass in the posterior wall of the gastric body. EUS showed a hypoechoic mass in the muscular layer in the gastric wall, which was diagnosed as adenocarcinoma by FNA. We diagnosed gastric wall recurrence due to needle tract seeding(NTS)following EUS-FNA and performed partial gastrectomy. Histopathological diagnosis was gastric wall recurrence of pancreatic cancer. Since NTS following EUS-FNA can be proven only by the presence of gastric wall recurrence after surgery for pancreatic body or tail cancer, the actual risk of NTS including peritoneal dissemination is not clear and may have been underestimated. In case of resectable pancreatic body or tail cancer, indication for EUS-FNA should be carefully considered.

AB - A woman in her 80s was diagnosed with pancreatic tail cancer by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). We performed laparoscopic distal pancreatectomy followed by adjuvant chemotherapy with S-1 for 6 months. One year after surgery, contrast-enhanced computed tomography revealed a 15 mm mass in the posterior wall of the gastric body. EUS showed a hypoechoic mass in the muscular layer in the gastric wall, which was diagnosed as adenocarcinoma by FNA. We diagnosed gastric wall recurrence due to needle tract seeding(NTS)following EUS-FNA and performed partial gastrectomy. Histopathological diagnosis was gastric wall recurrence of pancreatic cancer. Since NTS following EUS-FNA can be proven only by the presence of gastric wall recurrence after surgery for pancreatic body or tail cancer, the actual risk of NTS including peritoneal dissemination is not clear and may have been underestimated. In case of resectable pancreatic body or tail cancer, indication for EUS-FNA should be carefully considered.

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AN - SCOPUS:85123813476

SN - 0385-0684

VL - 48

SP - 2011

EP - 2013

JO - Gan to kagaku ryoho. Cancer & chemotherapy

JF - Gan to kagaku ryoho. Cancer & chemotherapy

IS - 13

ER -

A Case of Pancreatic Cancer with Gastric Wall Recurrence after Laparoscopic Distal Pancreatectomy Due to Needle Tract Seeding following EUS-FNA

Abstract

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