A rare case of pancreatic metastasis of lung adenocarcinoma
We reported a case of 69-year-old male who was diagnosed since a year for lung adenocarcinoma. His treatment based on chemotherapy according to the line treatment of medical oncology of the hospital. He was in good health without any symptomatology. During his follow-up, thoraco-abdominal-pelvic CT scan revealed a roughly rounded, poorly defined lung mass with irregular in shape, enhanced at the periphery after contrast media injection ().\nTwo bilateral adrenal masses were also discovered as hypodense, poorly defined, irregularly, and enhanced after injection of contrast medium ().\nA hypodense pancreatic corporal mass, roughly rounded, with irregular contours, enhanced after injection of contrast medium, without dilation of the Wirsung. There is associated dilatation of the intrahepatic bile ducts and the main bile duct (). On ultrasound, this mass corresponds to a rounded, heterogeneous, echogenic lesion with discrete peripheral vascularization on color Doppler (). A endoscopic biopsy for pancreatic mass was performed to confirm the diagnostic of non-primary tumor of pancreas. Histology confirmed a metastatic mass of lung cancer.\nThe adrenal and pancreatic metastases were diagnosed. There were no surgical indications according to the multidisciplinary consultation. The patient changed the treatment line due to multiple metastases, essentially involving chemotherapy without any radiotherapy.