Endoscopic ultrasound-guided pancreas biopsy in the hands of a chest physician

Mohammad Ahmad Issa; Jatinder Singh Sidhu; Soudeh Gerami Tehrani; Paul Frost Clementsen; Uffe Bodtger

doi:10.1016/j.rmcr.2023.101833

Endoscopic ultrasound-guided pancreas biopsy in the hands of a chest physician

Respir Med Case Rep. 2023 Mar 8:43:101833. doi: 10.1016/j.rmcr.2023.101833. eCollection 2023.

Authors

Mohammad Ahmad Issa¹, Jatinder Singh Sidhu¹, Soudeh Gerami Tehrani², Paul Frost Clementsen³, Uffe Bodtger^{1

4}

Affiliations

¹ Pulmonary Research Unit (PLUZ), Department of Respiratory Medicine, Zealand University Hospital in Roskilde & Næstved, Denmark.
² Department of Pathology, Zealand University Hospital, Roskilde, Denmark.
³ Copenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, Copenhagen, Denmark.
⁴ Institute for Regional Health Research, University of Southern Denmark, Odense, Denmark.

Abstract

This is the first paper to report sampling of pancreatic lesions by EUS-B-FNA. A 76 year old patient suspected of primary lung cancer presented with a 36 × 24 mm lesion in the pancreas. Thoracentesis showed malignant cells suggestive of mucinous adenocarcinoma, but immunohistochemistry was inconclusive. Due to rapid deterioration of performance status of this frail patient, the program was shortened to EUS-B-FNA of the pancreatic lesion, which showed mucinous adenocarcinoma suggestive of primary pancreatic cancer. We conclude that EUS-B-FNA from a pancreatic lesion in the hands of a chest physician is feasible and diagnostic of a tumor in pancreas.

Keywords: EUS-B-FNA; Endoscopic ultrasound-guided fine needle aspiration; Lung cancer; Pancreas.

Publication types

Case Reports