Breast and lung metastasis from pancreatic neuroendocrine carcinoma

Figure 1 Preoperative computed tomography scans of the chest, abdomen and pelvis. A: Pancreatic mass with associated biliary dilatation; B: Large, well-circumscribed, right breast lesion; C: Small left lung lesion. Postoperative pathology revealed a poorly differentiated carcinoma with clear cell features, favoring a poorly differentiated neuroendocrine carcinoma in the right breast and left lower lobe of the lung. The arrows depict the lesion of reference.

Figure 2 Pyloric sparing Whipple gross specimen with biliary stent in place. A: There is a marked decrease in the size of the tumor, producing an undetectable remnant lesion on gross examination; B: Small periampullary remnant lesion (arrow) noted on gross examination.