EUS diagnosis of a primary pancreatic metastasis of alveolar rhabdomyosarcoma

Ryan C. Vanwoerkom, Joel Bentz, Lei Chen, Douglas G. Adler

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Context: Alveolar rhabdomyosarcoma are rare malignancies. These lesions typically metastasize to the lungs, liver, and bone marrow. Pancreatic metastases from alveolar rhabdomyosarcoma are exceptionally uncommon. Case report: An 18-year-old man with a history of right orbital alveolar rhabdomyosarcoma, which had been treated with neoadjuvant therapy, surgery and adjuvant chemotherapy developed an episode of pancreatitis. CT at that time demonstrated acute pancreatitis with no mass lesions. Two months later, the patient developed abdominal pain and an MRI documented a 6.4 cm mass in the pancreatic body and tail. EUS guided FNA confirmed the diagnosis of alveolar rhabdomyosarcoma metastatic to the pancreas. Conclusion: To our knowledge this is the first reported case of EUS guided FNA diagnosis of alveolar rhabdomyosarcoma metastatic to the pancreas. This is also the only case report of a primary pancreatic metastasis of this type of tumor in a male patient (which occurs less commonly than in females).

Original languageEnglish (US)
Pages (from-to)683-685
Number of pages3
JournalJournal of the Pancreas
Volume10
Issue number6
StatePublished - Nov 1 2009
Externally publishedYes

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Alveolar Rhabdomyosarcoma
Neoplasm Metastasis
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Pancreatitis
Pancreas
Neoadjuvant Therapy
Adjuvant Chemotherapy
Abdominal Pain
Neoplasms
Bone Marrow
Lung
Liver

Keywords

  • Neoplasm metastasis
  • Pancreas
  • Rhabdomyosarcoma

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

Cite this

EUS diagnosis of a primary pancreatic metastasis of alveolar rhabdomyosarcoma. / Vanwoerkom, Ryan C.; Bentz, Joel; Chen, Lei; Adler, Douglas G.

In: Journal of the Pancreas, Vol. 10, No. 6, 01.11.2009, p. 683-685.

Research output: Contribution to journalArticle

Vanwoerkom, Ryan C. ; Bentz, Joel ; Chen, Lei ; Adler, Douglas G. / EUS diagnosis of a primary pancreatic metastasis of alveolar rhabdomyosarcoma. In: Journal of the Pancreas. 2009 ; Vol. 10, No. 6. pp. 683-685.
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N2 - Context: Alveolar rhabdomyosarcoma are rare malignancies. These lesions typically metastasize to the lungs, liver, and bone marrow. Pancreatic metastases from alveolar rhabdomyosarcoma are exceptionally uncommon. Case report: An 18-year-old man with a history of right orbital alveolar rhabdomyosarcoma, which had been treated with neoadjuvant therapy, surgery and adjuvant chemotherapy developed an episode of pancreatitis. CT at that time demonstrated acute pancreatitis with no mass lesions. Two months later, the patient developed abdominal pain and an MRI documented a 6.4 cm mass in the pancreatic body and tail. EUS guided FNA confirmed the diagnosis of alveolar rhabdomyosarcoma metastatic to the pancreas. Conclusion: To our knowledge this is the first reported case of EUS guided FNA diagnosis of alveolar rhabdomyosarcoma metastatic to the pancreas. This is also the only case report of a primary pancreatic metastasis of this type of tumor in a male patient (which occurs less commonly than in females).

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