2020 Volume 62 Issue 7 Pages 785-792
Case 1: A 64-year-old female with obstructive jaundice, suggesting the presence of pancreatic head tumor, was admitted to our hospital. Enhanced computed tomography (CT) showed a pancreatic head mass, while endoscopic ultrasound (EUS) detected two masses (i.e., pancreatic head and body). Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) was performed, and the two masses were identified as adenocarcinoma. The patient underwent subtotal stomach-preserving pancreatoduodenectomy. The pancreatic head and body masses were moderately and well differentiated adenocarcinoma, respectively. Case 2: A 78-year-old female was admitted to our hospital due to suspicion of a pancreatic body tumor. Enhanced CT showed a pancreatic tail mass, while EUS detected two masses (i.e., pancreatic body and tail). EUS-FNA was performed, and the two masses were identified as adenocarcinoma. The patient underwent distal pancreatectomy. Both masses were well differentiated adenocarcinoma, and could be distinguished histologically/morphologically. The use of preoperative EUS-FNA is necessary to confirm the presence of multiple lesions in patients with initial detection of a pancreatic mass.
