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Metastatic primary pulmonary leiomyosarcoma to the pancreas diagnosed by endoscopic ultrasound-guided fine-needle aspiration

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Abstract

A 77-year-old female patient consulted our hospital for an abnormal shadow observed on chest X-ray. Computed tomography revealed the shadow of a mass in the right lower lung lobe and two shadows of masses in the pancreatic head and body. 18F-fluorodeoxyglucose-positron emission tomography showed an intense uptake only in the fields corresponding to these three masses. Each mass was diagnosed as leiomyosarcoma by transcutaneous needle biopsy of the pulmonary mass and endoscopic ultrasound-guided fine-needle aspiration of the pancreatic masses. The primary site was the lung because the pulmonary lesion was solitary, and no tumor was found in other organs. In English language literature, a case of primary pulmonary leiomyosarcoma with metastasis solely to the pancreas has not yet been reported to the best of our knowledge.

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Authors and Affiliations

  1. Kishiwada Municipal Hospital, Gastroenterology, Kishiwada, Japan

    Shinji Miyajima, Shotai Takeda, Kyosuke Goda, Soichi Arasawa, Tomoko Hoshi, Susumu Hoshi, Yuichi Tanaka, Haruo Takaya, Toyokazu Fukunaga & Kozo Kajimura

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  1. Shinji Miyajima
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  2. Shotai Takeda
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  3. Kyosuke Goda
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  4. Soichi Arasawa
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  5. Tomoko Hoshi
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  6. Susumu Hoshi
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  7. Yuichi Tanaka
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  8. Haruo Takaya
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  9. Toyokazu Fukunaga
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  10. Kozo Kajimura
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Correspondence to Shinji Miyajima.

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Shinji Miyajima, Shotai Takeda, Kyosuke Goda, Soichi Arasawa, Tomoko Hoshi, Susumu Hoshi, Yuichi Tanaka, Haruo Takaya, Toyokazu Fukunaga and Kozo Kajimura declare that they have no conflict of interest.

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Miyajima, S., Takeda, S., Goda, K. et al. Metastatic primary pulmonary leiomyosarcoma to the pancreas diagnosed by endoscopic ultrasound-guided fine-needle aspiration. Clin J Gastroenterol 14, 1779–1784 (2021). https://doi.org/10.1007/s12328-021-01522-3

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  • DOI: https://doi.org/10.1007/s12328-021-01522-3

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