Incidental liver metastasis in pancreatic adenocarcinoma
| Autor: | Gregory P Wellman, Hrishikesh Samant, Kapil Kohli, Sudha Pandit, Gazi B. Zibari, Hosein Shokouh-Amiri |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Cancer Case Report Pancreaticoduodenectomy medicine.disease 030218 nuclear medicine & medical imaging Metastasis 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Liver biopsy Pancreatic cancer medicine Adenocarcinoma Surgery Radiology business Pancreas Cause of death |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Exocrine cancer of pancreas is the fourth leading cause of death in the USA among both men and women. Contrast enhanced multidetector-row computer tomography (MDCT) is the current modality of choice for the detection of distant metastasis in pancreatic cancer as a part of pre-operative workup, which helps decide on resectability. Authors present a first ever reported case of an incidental liver metastasis found on intra-operative wedge hepatic biopsy during Whipple’s procedure for pancreatic cancer. This pancreatic cancer was initially thought to be resectable based on MDCT staging per guidelines. The case highlights the importance of diagnostic staging laparoscopy and neoadjuvant chemotherapy before resecting pancreatic adenocarcinoma. |
| Databáze: | OpenAIRE |
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