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A case of metastatic lymph node from pancreatic cancer. Conventional endoscopic ultrasound (left image) shows low-echoic lymph node surrounding with common bile duct (arrows). Contrast-enhanced harmonic endoscopic ultrasound (right image) shows the lesion is enhanced heterogeneously that indicates a malignant lymph node. Therefore, endoscopic ultrasound fine-needle aspiration was performed in this lymph node for T-staging of pancreatic cancer before surgery
