RARE PRESENTATION OF PANCREATIC TUMOR: DIAGNOSTIC DILEMMA
ABSTRACT:
INTRODUCTION:
Pancreatic cancer is one of the leading cause of death in men. Adenocarcinoma arising from the head is most common than the tumor arising from the body or the tail. Jaundice is the most common symptom. Patients present at a very late stage. Carcinoma arising from the body and tail are silent tumors, patients with these tumors present at a very advanced stage. Here we report a very rare case of pancreatic carcinoma arising from the body of the pancreas in a female and its management
CASE REPORT:
A 65 year old female presented with history of pain abdomen and loose stools since 1 week. History of loss of weight and appetite since 1 month. No history of hematemesis or melena. No history of jaundice. She was anemic with no significant lymphadenopathy. On examination a solitary tender hard mass measuring around 15x 17 cm was present occupying the epigastrium and left hypochdrium. Mass does not move with respiration. Ultrasound sound shows an hyperechoic mass present just below the pancreas. CT scan showed a mass measuring 4x 3 cm arising from the body of the pancreas.
DISCUSSION:…show more content… Patients with pancreatic carcinoma present late with vague symptoms, due to this mortality also increases.1 Most commonly seen in men usually between 6th to 8th decades of life. Etiological factors for pancreatic tumors are tobacco, alcohol, African American origin, chronic pancreatitis, obesity, high fat and cholesterol diet etc.2 Tumors of the head of the pancreas are more common than the tumors arising from body and tail. The usual symptoms at presentation is jaundice for tumors from head of the pancreas whereas the patient with tumor from body and tail present at a very advanced stage. Pancreatic ductal carcinoma arises from ductal epithelial
