Liver - EUS Guided FNA of a Liver Mass
Comments: A 59 year old male with a history of T3, N1 esophageal adenocarcinoma underwent neoadjuvant radiation and chemotherapy followed by an esophagectomy and gastric pull-up procedure. Two years later a routine follow-up CT scan of the abdomen revealed a lesion in the liver. He was referred for EUS. EGD revealed normal post-surgical anatomy. EUS identified a 2 cm, hypoechoic mass in the left lobe of the liver. EUS-guided FNA was performed with a 25 gauge needle using a transgastric approach. Cytology revealed pleomorphic clusters of malignant epithelial cells characterized by nuclear enlargement, overlapping nuclei with a high nuclear to cytoplasmic ratio and cytoplasmic vacuoles consistent with metastatic adenocarcinoma.
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Harry Aslanian, M.D. Assistant Professor of Medicine Yale University |
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Citation: Aslanian, H. (Dec 12 2006). Liver - EUS Guided FNA of a Liver Mass. The DAVE Project. Retrieved Nov, 23, 2009, from http://daveproject.org/viewfilms.cfm?film_id=552 Times viewed since Feb 2006: 11838 |
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