Gastric compression due to a cystic liver metastasis of vulvar carcinoma diagnosed by endoscopic ultrasound-guided fine-needle aspiration

A 63-year-old woman who was complaining of epigastric pain and abdominal fullness underwent an upper gastrointestinal endoscopy, which revealed a bulge in the lesser curvature and anterior wall of the gastric body ([Fig. 1]). A computed tomography (CT) scan and a sectorial endoscopic ultrasound (EUS) using an Olympus GF-UCT140-AL5 (Olympus America Inc., New York, USA) coupled to an ultrasound unit (Aloka Prosound alfa-5 SX) detected a 5-cm cyst...