Isolated pancreatic metastasis of hepatocellular carcinoma after curative resection

Figure 1 Abdominal computed tomography finding. A: Computed tomography showed an irregular mass in the tail of the pancreas that was associated with dilatation of the distal pancreatic duct (arrow); B: With a contrast-enhanced scan, the mass projected into the splenic vein (arrow).

Figure 2 Linear endosonography (EUS) image revealing fine needle aspiration of a rounded, well-defined mass (5 cm in diameter) in tail of pancreas.

Figure 3 Photomicrograph of cytologic specimen obtained by EUS-guided showing a poorly differentiated carcinoma with histological features consistent with a metastasis from his previous hepatocellular carcinoma (Papanicolaou stain, × 200).

Figure 4 Surgical specimen. A: The tumor was 4.5 cm × 3.4 cm × 2 cm in size in the tail of the pancreas (arrow) and invaded the splenic vein (arrow head); B: Microscopic examination revealed metastatic hepatocellular carcinoma in the pancreas (HE, × 40).