KASMEJ
Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

eISSN: 2757-9336
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
A mass mimicking primary pancreatic malignancy
Abstract
Colorectal cancer ranks third among all cancers in terms of prevalence. It is the second most common cause of death overall. The patterns of spread are lymphatic, hematogenous, and direct invasion. Lymph node involvement is a prognostic factor and has a strong correlation with survival and disease free interval. Regional lymph nodes are frequently the first structures to get affected. Metastatic disease (stage IV) is defined as the spread of disease to lymph nodes other than regional ones. Because of this, the type of treatment that is administered and the patient's survival rate are both affected when the cancer spreads to non-regional lymph nodes. In this particular instance, we report a patient who had results that were consistent with having a pancreatic tumor. Nevertheless, with the aid of endoscopic ultrasonography, we determined that the patient had metastatic colon cancer. And the patient's trajectory takes a dramatic turn for the worse, shifting from resectable pancreatic cancer to metastatic colon cancer.

Keywords : Colon cancer, endoscopic ultrasonography, lymph node metastases, pancreatic cancer, pancreatic mass

Download Article


1. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020:GLOBOCAN Estimates of incidence and mortality worldwide for36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-249.doi:10.3322/caac.21660
2. Hess KR, Varadhachary GR, Taylor SH, et al. Metastatic patterns inadenocarcinoma. Cancer. 2006;106(7):1624-1633. doi:10.1002/cncr.21778
3. Fortea-Sanchis C, Martínez-Ramos D, Escrig-Sos J. The lymph nodestatus as a prognostic factor in colon cancer: comparative populationstudy of classifications using the logarithm of the ratio between metastaticand nonmetastatic nodes (LODDS) versus the pN-TNM classificationand ganglion ratio systems. BMC Cancer. 2018;18(1):1-11. doi:10.1186/s12885-018-5048-4
4. Feng X, Li H, Lu X, et al. Regional lymph nodes distribution pattern incentral area of right-sided colon cancer: in-vivo detection and the updateon the clinical exploration. Am J Cancer Res. 2021;11(5):2095-2105.
5. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®)Colon Cancer. (n.d.). Accessed May 1, 2023.
6. Kitano Y, Kuramoto M, Masuda T, et al. Ascending colon cancer withsynchronous external iliac and inguinal lymph node metastases butwithout regional lymph node metastasis: a case report and brief literaturereview. Surg Case Rep. 2017;3(1):32. doi:10.1186/s40792-017-0309-z
7. El-Halabi MM, Chaaban SA, Meouchy J, Page S, Salyers WJ Jr. Coloncancer metastasis to mediastinal lymph nodes without liver or lunginvolvement: A case report. Oncol Lett. 2014;8(5):2221-2224. doi:10.3892/ol.2014.2426
8. Strohm WD, Phillip J, Hagenmüller F, Classen M. Ultrasonic tomographyby means of an ultrasonic fiberendoscope. Endoscopy. 1980;12(5):241-244.doi:10.1055/s-2007-1021752
9. Vilmann P, Jacobsen GK, Henriksen FW, Hancke S. Endoscopicultrasonography with guided fine needle aspiration biopsy in pancreaticdisease. Gastrointest Endosc. 1992;38(2):172-173. doi:10.1016/s0016-5107(92)70385-x
10. Reddy Y, Willert RP. Endoscopic ultrasound: what is it and whenshould it be used? Clin Med (Lond). 2009;9(6):539-543. doi:10.7861/clinmedicine.9-6-539
11. Yousaf MN, Chaudhary FS, Ehsan A, et al. Endoscopic ultrasound (EUS)and the management of pancreatic cancer. BMJ Open Gastroenterol.2020;7(1):e000408. doi:10.1136/bmjgast-2020-000408
Article available in :
Volume 3, Issue 2, 2023
Page : 113-115
https://doi.org/10.51271/KMJ-0110
Article Information
Received : 02 May 2023
Accepted : 24 May 2023
Published : 26 Haz 2023
Corresponding Author :

İdris Kurt: Department of Gastroenterology, Faculty of Medicine, Trakya University Edirne, Turkiye

[email protected]
Citation : Kurt İ. A mass mimicking primary pancreatic malignancy. Kastamonu Med J. 2023;3(2):113-115

Read: 360
Cited: 0
Download : 491
_Footer