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Gastrointestinal: Needle tract implantation after endoscopic ultrasound‐guided fine‐needle aspiration of a pancreatic adenocarcinoma

Figure 2 (a) HE-stained (×150) pathological tissue resected by distal gastrectomy showed moderately differentiated tubular adenocarcinoma mainly in the gastric mucosa over the muscular layer. This was similar to findings in pancreatic cancer tissue resected in the previous surgery, suggesting dissemination of pancreatic cancer to the stomach through EUS-FNA. (b) HE-stained (×150) pathological tissue resected by distal pancreatectomy. Atypical cubical epithelium formed large and small gland ducts.Moderately differentiated tubular adenocarcinoma was mainly noted and was diagnosed as infiltrating pancreatic duct cancer. Figure 1 (a, b) Upper gastrointestinal endoscopy revealed an about 25-mm submucosal tumor-like protrusion with erosion of the apex in the lower posterior wall of the stomach body.