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Pancreatic body/tail adenocarcinoma with ovarian metastases

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Evaluate pelvic mass.

Patient Data

Age: 65 years
Gender: Female

Expansile lower attenuation mass in the pancreas body and tail causing obstruction of the splenic vein and encasing the splenic artery. Lage and irregular cystic/solid mass of the right ovary, and smaller mass in the left ovary. No other sites of disease.

Case Discussion

Pancreas body/tail mass typical for adenocarcinoma, supported by the occlusion of the splenic vein (common with a mass in this location) and less common Kruckenberg-type metastases of the ovaries. Pancreas adenocarcinoma was confirmed with endoscopic biopsy. 

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