Metastatic pancreatic cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 80 years
Gender: Female

A 25 mm low enhancing mass is present at pancreatic neck, accompanied by distal parenchymal atrophic changes and duct dilatation. There is no sign of local invasion to adjacent structures and no vascular encasement.

A few small lymphadenopathies with SAD less than 7 mm are seen in the vicinity of diseased segment. In addition, multiple small low enhancing masses are seen at liver less than 15 mm.

A few subcentimeter simple cortical cysts are seen at kidneys. 
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Pancreatic mass; pathology proven adenocarcinoma; with small reginal lymphadenopathies and hepatic metastasis.

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