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Pancreatic metastasis of angiosarcoma (Stewart–Treves syndrome) diagnosed using endoscopic ultrasound-guided fine needle aspiration: A case report

Identifieur interne : 008708 ( Ncbi/Merge ); précédent : 008707; suivant : 008709

Pancreatic metastasis of angiosarcoma (Stewart–Treves syndrome) diagnosed using endoscopic ultrasound-guided fine needle aspiration: A case report

Auteurs : Junpei Sasajima ; Jiro Uehara ; Takuma Goto ; Shugo Fujibayashi ; Kazuya Koizumi ; Yusuke Mizukami [Japon] ; Akemi Ishida-Yamamoto ; Mikihiro Fujiya ; Toshikatsu Okumura

Source :

RBID : PMC:5370784

Descripteurs français

English descriptors

Abstract

AbstractBackground:

Pancreatic involvement of angiosarcoma is extremely rare.

Methods:

We herein report a rare case of angiosarcoma associated with chronic lymphedema (Stewart–Treves syndrome) with pancreatic metastasis that was diagnosed using endoscopic ultrasound (EUS)/fine needle aspiration (FNA).

Results:

A 43-year-old woman with a history of radical hysterectomy with bilateral inguinal lymphadenectomy and chemoradiotherapy for cervical cancer 15 years prior noticed the presence of erythematous indurative plaques on her right femoral region, where chronic lymphedema had developed. Contrast-enhanced computed tomography (CT) revealed not only multiple nodules in the subcutaneous tissue of the right femoral region but also a 25 mm × 20 mm solid mass in the region of the pancreatic tail. A histological analysis of the specimens obtained using EUS/FNA revealed angiosarcoma that was immunohistochemically positive for platelet/endothelial cell adhesion molecule-1 but negative for cytokeratin. The patient was diagnosed as Stewart–Treves syndrome that had metastasized to the pancreas. Chemotherapy was performed, but the patient died 14 months after her diagnosis.

Conclusion:

Unfortunately, this patient was not followed up, even though she had chronic lymphedema of the right femoral region due to the repeated occurrence of phlegmon. To improve the survival rate of this fatal secondary malignant complication of radical lymphadenectomy, an early diagnosis with consecutive and long-term clinical follow-up and close monitoring for Stewart–Treves syndrome is therefore important.


Url:
DOI: 10.1097/MD.0000000000004316
PubMed: 27537557
PubMed Central: 5370784

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PMC:5370784

Le document en format XML

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<term>Adult</term>
<term>Endoscopic Ultrasound-Guided Fine Needle Aspiration</term>
<term>Female</term>
<term>Hemangiosarcoma (diagnosis)</term>
<term>Hemangiosarcoma (pathology)</term>
<term>Humans</term>
<term>Lymphangiosarcoma (diagnosis)</term>
<term>Lymphangiosarcoma (pathology)</term>
<term>Pancreas (diagnostic imaging)</term>
<term>Pancreas (pathology)</term>
<term>Pancreatic Neoplasms (diagnostic imaging)</term>
<term>Pancreatic Neoplasms (secondary)</term>
<term>Tomography, X-Ray Computed</term>
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<term>Adulte</term>
<term>Cytoponction sous échoendoscopie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hémangiosarcome (anatomopathologie)</term>
<term>Hémangiosarcome (diagnostic)</term>
<term>Lymphangiosarcome (anatomopathologie)</term>
<term>Lymphangiosarcome (diagnostic)</term>
<term>Pancréas (anatomopathologie)</term>
<term>Pancréas (imagerie diagnostique)</term>
<term>Tomodensitométrie</term>
<term>Tumeurs du pancréas (imagerie diagnostique)</term>
<term>Tumeurs du pancréas (secondaire)</term>
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<term>Hémangiosarcome</term>
<term>Lymphangiosarcome</term>
<term>Pancréas</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lymphangiosarcoma</term>
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<term>Hémangiosarcome</term>
<term>Lymphangiosarcome</term>
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<term>Pancreas</term>
<term>Pancreatic Neoplasms</term>
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<term>Pancréas</term>
<term>Tumeurs du pancréas</term>
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<term>Lymphangiosarcoma</term>
<term>Pancreas</term>
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<term>Tumeurs du pancréas</term>
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<div type="abstract" xml:lang="en">
<title>Abstract</title>
<sec sec-type="background">
<title>Background:</title>
<p>Pancreatic involvement of angiosarcoma is extremely rare.</p>
</sec>
<sec sec-type="methods">
<title>Methods:</title>
<p>We herein report a rare case of angiosarcoma associated with chronic lymphedema (Stewart–Treves syndrome) with pancreatic metastasis that was diagnosed using endoscopic ultrasound (EUS)/fine needle aspiration (FNA).</p>
</sec>
<sec sec-type="results">
<title>Results:</title>
<p>A 43-year-old woman with a history of radical hysterectomy with bilateral inguinal lymphadenectomy and chemoradiotherapy for cervical cancer 15 years prior noticed the presence of erythematous indurative plaques on her right femoral region, where chronic lymphedema had developed. Contrast-enhanced computed tomography (CT) revealed not only multiple nodules in the subcutaneous tissue of the right femoral region but also a 25 mm × 20 mm solid mass in the region of the pancreatic tail. A histological analysis of the specimens obtained using EUS/FNA revealed angiosarcoma that was immunohistochemically positive for platelet/endothelial cell adhesion molecule-1 but negative for cytokeratin. The patient was diagnosed as Stewart–Treves syndrome that had metastasized to the pancreas. Chemotherapy was performed, but the patient died 14 months after her diagnosis.</p>
</sec>
<sec sec-type="conclusion">
<title>Conclusion:</title>
<p>Unfortunately, this patient was not followed up, even though she had chronic lymphedema of the right femoral region due to the repeated occurrence of phlegmon. To improve the survival rate of this fatal secondary malignant complication of radical lymphadenectomy, an early diagnosis with consecutive and long-term clinical follow-up and close monitoring for Stewart–Treves syndrome is therefore important.</p>
</sec>
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<name sortKey="Fujibayashi, Shugo" sort="Fujibayashi, Shugo" uniqKey="Fujibayashi S" first="Shugo" last="Fujibayashi">Shugo Fujibayashi</name>
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<author>
<name sortKey="Mizukami, Yusuke" sort="Mizukami, Yusuke" uniqKey="Mizukami Y" first="Yusuke" last="Mizukami">Yusuke Mizukami</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff4">Center for Clinical and Biomedical Research, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.</nlm:aff>
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</author>
<author>
<name sortKey="Ishida Yamamoto, Akemi" sort="Ishida Yamamoto, Akemi" uniqKey="Ishida Yamamoto A" first="Akemi" last="Ishida-Yamamoto">Akemi Ishida-Yamamoto</name>
<affiliation>
<nlm:aff id="aff2">Department of Dermatology, Asahikawa Medical University, Hokkaido</nlm:aff>
<wicri:noCountry code="subfield">Hokkaido</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Fujiya, Mikihiro" sort="Fujiya, Mikihiro" uniqKey="Fujiya M" first="Mikihiro" last="Fujiya">Mikihiro Fujiya</name>
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<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Okumura, Toshikatsu" sort="Okumura, Toshikatsu" uniqKey="Okumura T" first="Toshikatsu" last="Okumura">Toshikatsu Okumura</name>
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<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
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<idno type="doi">10.1097/MD.0000000000004316</idno>
<date when="2016">2016</date>
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<analytic>
<title xml:lang="en" level="a" type="main">Pancreatic metastasis of angiosarcoma (Stewart–Treves syndrome) diagnosed using endoscopic ultrasound-guided fine needle aspiration: A case report</title>
<author>
<name sortKey="Sasajima, Junpei" sort="Sasajima, Junpei" uniqKey="Sasajima J" first="Junpei" last="Sasajima">Junpei Sasajima</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Uehara, Jiro" sort="Uehara, Jiro" uniqKey="Uehara J" first="Jiro" last="Uehara">Jiro Uehara</name>
<affiliation>
<nlm:aff id="aff2">Department of Dermatology, Asahikawa Medical University, Hokkaido</nlm:aff>
<wicri:noCountry code="subfield">Hokkaido</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Goto, Takuma" sort="Goto, Takuma" uniqKey="Goto T" first="Takuma" last="Goto">Takuma Goto</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Fujibayashi, Shugo" sort="Fujibayashi, Shugo" uniqKey="Fujibayashi S" first="Shugo" last="Fujibayashi">Shugo Fujibayashi</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Koizumi, Kazuya" sort="Koizumi, Kazuya" uniqKey="Koizumi K" first="Kazuya" last="Koizumi">Kazuya Koizumi</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff id="aff3">Gastroenterology Medicine Center, Shonan Kamakura General Hospital, Kanagawa</nlm:aff>
<wicri:noCountry code="subfield">Kanagawa</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Mizukami, Yusuke" sort="Mizukami, Yusuke" uniqKey="Mizukami Y" first="Yusuke" last="Mizukami">Yusuke Mizukami</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff4">Center for Clinical and Biomedical Research, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Japon</country>
<wicri:regionArea>Center for Clinical and Biomedical Research, Sapporo Higashi Tokushukai Hospital, Sapporo</wicri:regionArea>
<wicri:noRegion>Sapporo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ishida Yamamoto, Akemi" sort="Ishida Yamamoto, Akemi" uniqKey="Ishida Yamamoto A" first="Akemi" last="Ishida-Yamamoto">Akemi Ishida-Yamamoto</name>
<affiliation>
<nlm:aff id="aff2">Department of Dermatology, Asahikawa Medical University, Hokkaido</nlm:aff>
<wicri:noCountry code="subfield">Hokkaido</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Fujiya, Mikihiro" sort="Fujiya, Mikihiro" uniqKey="Fujiya M" first="Mikihiro" last="Fujiya">Mikihiro Fujiya</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Okumura, Toshikatsu" sort="Okumura, Toshikatsu" uniqKey="Okumura T" first="Toshikatsu" last="Okumura">Toshikatsu Okumura</name>
<affiliation>
<nlm:aff id="aff1">Division of Gastroenterology and Hematology/Oncology, Department of Medicine</nlm:aff>
<wicri:noCountry code="subfield">Department of Medicine</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Medicine</title>
<idno type="ISSN">0025-7974</idno>
<idno type="eISSN">1536-5964</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<title>Abstract</title>
<sec sec-type="background">
<title>Background:</title>
<p>Pancreatic involvement of angiosarcoma is extremely rare.</p>
</sec>
<sec sec-type="methods">
<title>Methods:</title>
<p>We herein report a rare case of angiosarcoma associated with chronic lymphedema (Stewart–Treves syndrome) with pancreatic metastasis that was diagnosed using endoscopic ultrasound (EUS)/fine needle aspiration (FNA).</p>
</sec>
<sec sec-type="results">
<title>Results:</title>
<p>A 43-year-old woman with a history of radical hysterectomy with bilateral inguinal lymphadenectomy and chemoradiotherapy for cervical cancer 15 years prior noticed the presence of erythematous indurative plaques on her right femoral region, where chronic lymphedema had developed. Contrast-enhanced computed tomography (CT) revealed not only multiple nodules in the subcutaneous tissue of the right femoral region but also a 25 mm × 20 mm solid mass in the region of the pancreatic tail. A histological analysis of the specimens obtained using EUS/FNA revealed angiosarcoma that was immunohistochemically positive for platelet/endothelial cell adhesion molecule-1 but negative for cytokeratin. The patient was diagnosed as Stewart–Treves syndrome that had metastasized to the pancreas. Chemotherapy was performed, but the patient died 14 months after her diagnosis.</p>
</sec>
<sec sec-type="conclusion">
<title>Conclusion:</title>
<p>Unfortunately, this patient was not followed up, even though she had chronic lymphedema of the right femoral region due to the repeated occurrence of phlegmon. To improve the survival rate of this fatal secondary malignant complication of radical lymphadenectomy, an early diagnosis with consecutive and long-term clinical follow-up and close monitoring for Stewart–Treves syndrome is therefore important.</p>
</sec>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
<biblStruct>
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<name sortKey="Lee, R" uniqKey="Lee R">R Lee</name>
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</author>
<author>
<name sortKey="Schwartz, Ra" uniqKey="Schwartz R">RA Schwartz</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
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<name sortKey="Cui, L" uniqKey="Cui L">L Cui</name>
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</analytic>
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<biblStruct>
<analytic>
<author>
<name sortKey="Strobel, O" uniqKey="Strobel O">O Strobel</name>
</author>
<author>
<name sortKey="Buchler, Mw" uniqKey="Buchler M">MW Buchler</name>
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</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Seth, Ak" uniqKey="Seth A">AK Seth</name>
</author>
<author>
<name sortKey="Argani, P" uniqKey="Argani P">P Argani</name>
</author>
<author>
<name sortKey="Campbell, Ka" uniqKey="Campbell K">KA Campbell</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
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<name sortKey="Csiszko, A" uniqKey="Csiszko A">A Csiszko</name>
</author>
<author>
<name sortKey="Laszlo, I" uniqKey="Laszlo I">I Laszlo</name>
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<name sortKey="Palatka, K" uniqKey="Palatka K">K Palatka</name>
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</analytic>
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<analytic>
<author>
<name sortKey="Alzahrani, Ma" uniqKey="Alzahrani M">MA Alzahrani</name>
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<name sortKey="Schmulewitz, N" uniqKey="Schmulewitz N">N Schmulewitz</name>
</author>
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<name sortKey="Grewal, S" uniqKey="Grewal S">S Grewal</name>
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</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Maeyashiki, C" uniqKey="Maeyashiki C">C Maeyashiki</name>
</author>
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<name sortKey="Nagata, N" uniqKey="Nagata N">N Nagata</name>
</author>
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<name sortKey="Uemura, N" uniqKey="Uemura N">N Uemura</name>
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</analytic>
</biblStruct>
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<analytic>
<author>
<name sortKey="Jain, A" uniqKey="Jain A">A Jain</name>
</author>
<author>
<name sortKey="Simon, S" uniqKey="Simon S">S Simon</name>
</author>
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<name sortKey="Elangovan, I" uniqKey="Elangovan I">I Elangovan</name>
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<analytic>
<author>
<name sortKey="Chen, X" uniqKey="Chen X">X Chen</name>
</author>
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<name sortKey="Lagana, Sm" uniqKey="Lagana S">SM Lagana</name>
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<name sortKey="Poneros, J" uniqKey="Poneros J">J Poneros</name>
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<name sortKey="Cozen, W" uniqKey="Cozen W">W Cozen</name>
</author>
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<name sortKey="Bernstein, L" uniqKey="Bernstein L">L Bernstein</name>
</author>
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<name sortKey="Wang, F" uniqKey="Wang F">F Wang</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
</pmc>
<pubmed>
<TEI>
<teiHeader>
<fileDesc>
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<title xml:lang="en">Pancreatic metastasis of angiosarcoma (Stewart-Treves syndrome) diagnosed using endoscopic ultrasound-guided fine needle aspiration: A case report.</title>
<author>
<name sortKey="Sasajima, Junpei" sort="Sasajima, Junpei" uniqKey="Sasajima J" first="Junpei" last="Sasajima">Junpei Sasajima</name>
<affiliation wicri:level="1">
<nlm:affiliation>aDivision of Gastroenterology and Hematology/Oncology, Department of Medicine bDepartment of Dermatology, Asahikawa Medical University, Hokkaido cGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kanagawa dCenter for Clinical and Biomedical Research, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.</nlm:affiliation>
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</author>
<author>
<name sortKey="Uehara, Jiro" sort="Uehara, Jiro" uniqKey="Uehara J" first="Jiro" last="Uehara">Jiro Uehara</name>
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<name sortKey="Goto, Takuma" sort="Goto, Takuma" uniqKey="Goto T" first="Takuma" last="Goto">Takuma Goto</name>
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<author>
<name sortKey="Fujibayashi, Shugo" sort="Fujibayashi, Shugo" uniqKey="Fujibayashi S" first="Shugo" last="Fujibayashi">Shugo Fujibayashi</name>
</author>
<author>
<name sortKey="Koizumi, Kazuya" sort="Koizumi, Kazuya" uniqKey="Koizumi K" first="Kazuya" last="Koizumi">Kazuya Koizumi</name>
</author>
<author>
<name sortKey="Mizukami, Yusuke" sort="Mizukami, Yusuke" uniqKey="Mizukami Y" first="Yusuke" last="Mizukami">Yusuke Mizukami</name>
</author>
<author>
<name sortKey="Ishida Yamamoto, Akemi" sort="Ishida Yamamoto, Akemi" uniqKey="Ishida Yamamoto A" first="Akemi" last="Ishida-Yamamoto">Akemi Ishida-Yamamoto</name>
</author>
<author>
<name sortKey="Fujiya, Mikihiro" sort="Fujiya, Mikihiro" uniqKey="Fujiya M" first="Mikihiro" last="Fujiya">Mikihiro Fujiya</name>
</author>
<author>
<name sortKey="Okumura, Toshikatsu" sort="Okumura, Toshikatsu" uniqKey="Okumura T" first="Toshikatsu" last="Okumura">Toshikatsu Okumura</name>
</author>
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<title xml:lang="en">Pancreatic metastasis of angiosarcoma (Stewart-Treves syndrome) diagnosed using endoscopic ultrasound-guided fine needle aspiration: A case report.</title>
<author>
<name sortKey="Sasajima, Junpei" sort="Sasajima, Junpei" uniqKey="Sasajima J" first="Junpei" last="Sasajima">Junpei Sasajima</name>
<affiliation wicri:level="1">
<nlm:affiliation>aDivision of Gastroenterology and Hematology/Oncology, Department of Medicine bDepartment of Dermatology, Asahikawa Medical University, Hokkaido cGastroenterology Medicine Center, Shonan Kamakura General Hospital, Kanagawa dCenter for Clinical and Biomedical Research, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.</nlm:affiliation>
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<name sortKey="Uehara, Jiro" sort="Uehara, Jiro" uniqKey="Uehara J" first="Jiro" last="Uehara">Jiro Uehara</name>
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<name sortKey="Goto, Takuma" sort="Goto, Takuma" uniqKey="Goto T" first="Takuma" last="Goto">Takuma Goto</name>
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<name sortKey="Fujibayashi, Shugo" sort="Fujibayashi, Shugo" uniqKey="Fujibayashi S" first="Shugo" last="Fujibayashi">Shugo Fujibayashi</name>
</author>
<author>
<name sortKey="Koizumi, Kazuya" sort="Koizumi, Kazuya" uniqKey="Koizumi K" first="Kazuya" last="Koizumi">Kazuya Koizumi</name>
</author>
<author>
<name sortKey="Mizukami, Yusuke" sort="Mizukami, Yusuke" uniqKey="Mizukami Y" first="Yusuke" last="Mizukami">Yusuke Mizukami</name>
</author>
<author>
<name sortKey="Ishida Yamamoto, Akemi" sort="Ishida Yamamoto, Akemi" uniqKey="Ishida Yamamoto A" first="Akemi" last="Ishida-Yamamoto">Akemi Ishida-Yamamoto</name>
</author>
<author>
<name sortKey="Fujiya, Mikihiro" sort="Fujiya, Mikihiro" uniqKey="Fujiya M" first="Mikihiro" last="Fujiya">Mikihiro Fujiya</name>
</author>
<author>
<name sortKey="Okumura, Toshikatsu" sort="Okumura, Toshikatsu" uniqKey="Okumura T" first="Toshikatsu" last="Okumura">Toshikatsu Okumura</name>
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<title level="j">Medicine</title>
<idno type="eISSN">1536-5964</idno>
<imprint>
<date when="2016" type="published">2016</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Endoscopic Ultrasound-Guided Fine Needle Aspiration</term>
<term>Female</term>
<term>Hemangiosarcoma (diagnosis)</term>
<term>Hemangiosarcoma (pathology)</term>
<term>Humans</term>
<term>Lymphangiosarcoma (diagnosis)</term>
<term>Lymphangiosarcoma (pathology)</term>
<term>Pancreas (diagnostic imaging)</term>
<term>Pancreas (pathology)</term>
<term>Pancreatic Neoplasms (diagnostic imaging)</term>
<term>Pancreatic Neoplasms (secondary)</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Cytoponction sous échoendoscopie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hémangiosarcome (anatomopathologie)</term>
<term>Hémangiosarcome (diagnostic)</term>
<term>Lymphangiosarcome (anatomopathologie)</term>
<term>Lymphangiosarcome (diagnostic)</term>
<term>Pancréas (anatomopathologie)</term>
<term>Pancréas (imagerie diagnostique)</term>
<term>Tomodensitométrie</term>
<term>Tumeurs du pancréas (imagerie diagnostique)</term>
<term>Tumeurs du pancréas (secondaire)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Hémangiosarcome</term>
<term>Lymphangiosarcome</term>
<term>Pancréas</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lymphangiosarcoma</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Hémangiosarcome</term>
<term>Lymphangiosarcome</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Pancreas</term>
<term>Pancreatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Pancréas</term>
<term>Tumeurs du pancréas</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lymphangiosarcoma</term>
<term>Pancreas</term>
</keywords>
<keywords scheme="MESH" qualifier="secondaire" xml:lang="fr">
<term>Tumeurs du pancréas</term>
</keywords>
<keywords scheme="MESH" qualifier="secondary" xml:lang="en">
<term>Pancreatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Endoscopic Ultrasound-Guided Fine Needle Aspiration</term>
<term>Female</term>
<term>Humans</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Cytoponction sous échoendoscopie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Tomodensitométrie</term>
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<front>
<div type="abstract" xml:lang="en">Pancreatic involvement of angiosarcoma is extremely rare.</div>
</front>
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   |texte=   Pancreatic metastasis of angiosarcoma (Stewart–Treves syndrome) diagnosed using endoscopic ultrasound-guided fine needle aspiration: A case report
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i   -Sk "pubmed:27537557" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1 

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