Simultaneous multiple primary malignancies diagnosed by endoscopic ultrasound-guided fine-needle aspiration: A case report

Figure 1 Positron-emission tomography/computed tomography images. Positron-emission tomography/computed tomography confirmed increased soft tissues in the pancreatic head (red arrow) with elevated metabolic activity (green circle) and pancreatic pseudocyst (blue arrow) without an increase in metabolic activity.

Figure 2 Positron-emission tomography/computed tomography images. Positron-emission tomography/computed tomography confirmed multiple liver masses (red arrow) with elevated metabolic activity (green circle).

Figure 3 Endoscopic ultrasound images. A: An enlarged hypoechoic pancreatic head; B: Multiple hypoechoic liver masses (red arrow).

Figure 4 Histopathological images. A and B: Endoscopic ultrasound-guided fine-needle aspiration biopsy revealed histologies of endoscopic ultrasound-guided liver aspiration (A) and endoscopic ultrasound-guided pancreatic aspiration (B).