Presentation
Abdominal pain, weight loss, and decreased appetite for three months.
Patient Data
There is a pancreas neck mass lesion bulged within the pancreas head with a partially ill-defined margin and size up to 60x55mm. The mass and regional conglomerated lymph nodes have encased celiac artery branches. The anterior margin of the mass is in close contact with the posterior wall of the gastric antrum and extended within the wall in some parts. There is also atrophic change with dilated pancreatic duct in remaining segments of the pancreas and right side superolateral margin of the mass extended within hepatic hilum. Note also horseshoe kidneys and multiple cysts in both kidneys.
The pathology report sheath of the pancreas neck mass and regional metastatic lymph nodes biopsy.
Case Discussion
The case is a pancreas neck adenocarcinoma and regional metastatic lymph nodes infiltrated the related celiac artery branches and caused an atrophic change in remaining pancreas segments with the dilated pancreatic duct. Pancreatic adenocarcinoma is a very aggressive neoplasm and surgery is the main treatment option.
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