Journal article
Pancreatic metastasis of an ovarian malignant mixed Mullerian tumor identified by EUS-guided fine needle aspiration and Trucut needle biopsy
Journal of the Pancreas, Vol.7(1), pp.66-69
01/11/2006
PMID: 16407622
Abstract
Malignant mixed Mullerian tumors are rare ovarian neoplasms that account for less than 2% of ovarian malignancies. They have a generally poor prognosis and often develop recurrent disease. To our knowledge, this is the first report of a malignant mixed Mullerian tumor with metastasis to the pancreas. The metastatic tumor was identified by endoscopic ultrasound guided fine needle aspiration (EUS-FNA) and Trucut needle biopsy of the pancreas.
We describe a 69-year-old female with concomitant Duke's C adenocarcinoma of the colon and stage III-C malignant mixed Mullerian tumor that presented with malignant ascites, increasing abdominal girth and a pancreatic head mass. EUS revealed an 11 cm cystic mass in the head of the pancreas that was characterized as a carcinosarcoma/malignant mesodermal mixed tumor by EUS-FNA and Trucut needle biopsy. The tumor was morphologically identical to the surgical specimen of her ovarian mass. The patient was treated with palliative chemotherapy and a three-month follow up CT scan did not reveal any new metastatic lesions.
The pancreas is a rare site of metastasis and more commonly seen in renal cell carcinoma, melanoma or lung tumors; amongst others. Although ovarian adenocarcinoma has been reported as a primary site of pancreatic metastasis, it has not been previously described originating from a mixed Mullerian tumor of the ovary presenting as a cystic pancreatic head mass.
Details
- Title: Subtitle
- Pancreatic metastasis of an ovarian malignant mixed Mullerian tumor identified by EUS-guided fine needle aspiration and Trucut needle biopsy
- Creators
- Rogelio G Silva - Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. rogelio-silva@uiowa.eduLaila DahmoushHenning Gerke
- Resource Type
- Journal article
- Publication Details
- Journal of the Pancreas, Vol.7(1), pp.66-69
- Publisher
- Italy
- PMID
- 16407622
- ISSN
- 1590-8577
- eISSN
- 1590-8577
- Language
- English
- Date published
- 01/11/2006
- Academic Unit
- Gastroenterology and Hepatology; Pathology; Urology; Internal Medicine
- Record Identifier
- 9984047673002771
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