أرسل هذا في رسالة قصيرة: Metastatic pancreatic cancer presenting as a bleeding duodenal ulcer 30 months after initial diagnosis of duodenal ulcer. Should duodenal ulcers be biopsied or followed up with repeat endoscopy?

 _    _    _    _     ______   __   __    _  _   
| |  | || | || | ||  /_____//  \ \\/ //  | \| || 
| |/\| || | || | ||  `____ `    \ ` //   |  ' || 
|  /\  || | \\_/ ||  /___//      | ||    | .  || 
|_// \_||  \____//   `__ `       |_||    |_|\_|| 
`-`   `-`   `---`    /_//        `-`'    `-` -`  
                     `-`