Pancreatic adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 55 years
Gender: Male
ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

A 35 x 30 mm heterogeneously enhancing mass in the pancreatic head, appearing to infiltrate the adjacent duodenal wall, with mild surrounding fat stranding. There are several small lymph regional nodes. Parenchymal atrophic changes and main pancreatic duct dilatation distal to the mass.
 A few sub-centimeter simple renal cortical cysts.

Case Discussion

Pancreatic head mass with small regional lymph nodes and suspected invasion to the adjacent duodenum. Pathology proven pancreatic adenocarcinoma.

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