Total pancreatectomy for diffuse pancreatic adenocarcinoma
A 64-year-old lady presented with a brief history of abdominal pain associated with obstructive jaundice. Endoscopic retrograde cholangiopancreaticography (ERCP) revealed a short segment stricture with contact bleeding and the brush cytology confirmed presence atypical cells. Ca 19.9 levels were mar...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Department of Surgery, UKM Medical Centre
2011
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| Online Access: | http://journalarticle.ukm.my/811/1/45-47.pdf http://journalarticle.ukm.my/811/ http://jsurgacad.com/ |
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| Institution: | Universiti Kebangsaan Malaysia |
| Language: | English |
| Summary: | A 64-year-old lady presented with a brief history of abdominal pain associated with obstructive jaundice. Endoscopic retrograde cholangiopancreaticography (ERCP) revealed a short segment stricture with contact bleeding and the brush cytology confirmed presence atypical cells. Ca 19.9 levels were markedly elevated. She was planned for a Whipple’s procedure but was instead subjected to a total pancreatectomy based on intraoperative findings of a diffusely hard and nodular pancreas. Histopathological examination confirmed our diagnosis of diffuse pancreatic adenocarcinoma. This rare presentation of a locally contained and fully resectable diffuse pancreatic adenocarcinoma is being discussed. |
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