{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T09:22:58Z","timestamp":1771060978764,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,5,8]]},"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>We present a 49-year-old woman with a history of an unresectable nasopharyngeal small cell carcinoma (SCC) who was treated with concurrent chemotherapy and radiation therapy. On surveillance positron emission tomography scan 14 months after diagnosis, her primary tumour appeared stable, but there was fludeoxyglucose uptake in the pancreas. A CT scan demonstrated a 3.4\u00d72.1\u2009cm ill-defined soft tissue mass at the tail of the pancreas, which was concerning for adenocarcinoma. However, further workup including endoscopic ultrasound and fine needle aspiration confirmed the mass to be a metastasis from her nasopharyngeal SCC. Because there have been no previously reported cases of a metastatic small cell carcinoma to the pancreas, there are no data about prognosis. Thus treatment options were tailored to the patient. Distal pancreatectomy, splenectomy and cholecystectomy were performed. The patient recovered from surgery without complication.<\/jats:p>","DOI":"10.1136\/bcr-2020-235054","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T06:05:20Z","timestamp":1591769120000},"page":"e235054","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Rare case of metastatic small cell carcinoma of the nasopharynx to the pancreas"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0080-7010","authenticated-orcid":false,"given":"Jonathan","family":"Teinor","sequence":"first","affiliation":[{"name":"Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Groshek","sequence":"additional","affiliation":[{"name":"Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"},{"name":"The Johns Hopkins Hospital, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"He","sequence":"additional","affiliation":[{"name":"Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,6,9]]},"reference":[{"key":"2025082708543192000_13.6.e235054.1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24858"},{"key":"2025082708543192000_13.6.e235054.2","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminoncol.2006.11.017"},{"key":"2025082708543192000_13.6.e235054.3","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23666"},{"key":"2025082708543192000_13.6.e235054.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-004-1100-7"},{"key":"2025082708543192000_13.6.e235054.5","first-page":"1449","article-title":"Secondary tumors of the pancreas: a case series","volume":"32","author":"Pan","year":"2012","journal-title":"Anticancer Res"},{"key":"2025082708543192000_13.6.e235054.6","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1177\/030089160308900308","article-title":"Extrapulmonary small cell carcinoma: multimodality treatment results","volume":"89","author":"Sengoz","year":"2003","journal-title":"Tumori"},{"key":"2025082708543192000_13.6.e235054.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006440"},{"key":"2025082708543192000_13.6.e235054.8","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4322\/acr.2017.002","article-title":"Small cell neuroendocrine carcinoma of the nasopharynx: a rare case report","volume":"7","author":"Azevedo","year":"2017","journal-title":"Autops Case Rep"},{"key":"2025082708543192000_13.6.e235054.9","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1148\/rg.351140050","article-title":"Extrapulmonary small cell carcinoma: imaging features with radiologic-pathologic correlation","volume":"35","author":"Berniker","year":"2015","journal-title":"Radiographics"},{"key":"2025082708543192000_13.6.e235054.10","doi-asserted-by":"publisher","DOI":"10.1007\/s12032-014-0187-1"},{"key":"2025082708543192000_13.6.e235054.11","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-9-209"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235054","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:54:37Z","timestamp":1756310077000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":11,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,6,9]]},"published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1136\/bcr-2020-235054"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235054","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}