Solitary pancreatic metastasis from squamous cell lung carcinoma: A case report and review of literature

Figure 1 Imaging and endoscopic images of lung cancer and pancreatic mass. A: Computed tomography scan of the left hilar mass (arrow); B: Computed tomography scan of the mass on the head of the pancreas measuring 4.0 cm × 3.8 cm (arrow); C: Microscopic images showed dilatation of the main bile duct upstream of a very tight stenosis of the cystic duct at 25 mm with insertion of a plastic biliary stent.

Figure 2 Tracheoesophageal fistula. A: Computed tomography scan showed left lobar broncho-alveolitis; B: Upper gastrointestinal endoscopy showed a tracheoesophageal fistulae.

Figure 3 Images of endoscopic ultrasound and histological analysis of the pancreatic mass. A: Linear endoscopic ultrasound showed a pancreatic head tumor; B: Microphotography showing a proliferation with an easily recognizable squamous differentiation, including apparent intercellular bridges and minimal pleomorphism. Hematoxylin-eosin stain (× 200).

Figure 4 Placement of metallic biliary stent and esophageal stent. A: An uncovered metallic biliary stent; B: Microscopic image of the fully-covered esophageal stent.

Figure 5 Chest X-ray and endoscopic images of stents position. A: Position of the esophageal prosthesis; B: Abdomen without preparation showed the position of the biliary metallic stent; C: Covered esophageal stent with food stasis.

Figure 6 Flow diagram of the literature review of squamous cell lung carcinoma with pancreatic metastasis.