A CYSTIC PANCREATIC METASTASIS FROM OVARIAN CANCER: A CASE REPORT

Pancreatic cystic lesions are usually primary tumors of the pancreas though metastasis from distant tumors are possible, with ovarian cancer metastases rarely reported. An asymptomatic 57-year old woman with ovarian cancer diagnosed in 2013 and treated with hysteroannessiectomy and chemotherapy was referred on July 2019 for a newly diagnosed pancreatic tail cystic lesion. EUS showed a unilocular cyst with thickened wall and an enhancing mural nodule of 20 mm. A similar cystic lesion was seen in the spleen. Cytological evaluation from EUS-FNA showed neoplastic malignant cells with PAX8 positivity, similarly to the immunohistochemistry pattern of the original tumor.