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Item Metachronous gastric metastasis from lung primary, with synchronous pancreatic neuroendocrine carcinoma(Wiley, 2018-05-08) El Hajj, Ihab I.; Lawrence, Karen A.; Tirkes, Temel; Shahda, Safi; Sherman, Stuart; Medicine, School of MedicineThe finding of gastric metachronous metastasis, several years after the diagnosis of primary lung large cell carcinoma is rare and incidental. Even more extremely rare is the finding of a synchronous primary pancreas cancer. EUS-FNA with immunohistochemistry is useful for diagnosing metastatic lesions and differentiating those from synchronous primary lesions.