A patient with pancreatic cancer associated with brain and skin metastases

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  • KIMURA Hirokazu
    Department of Digestive, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • FURUKAWA Yoshinari
    Department of Digestive, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • KUWADA Yukio
    Department of Digestive, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • HANANOKI Mutumi
    Department of Digestive, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • MATUMOTO Nori
    Department of Digestive, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • YAMAMOTO Masahiro
    Department of Digestive, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • FUJIWARA Megumu
    Department of Pathology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital

Bibliographic Information

Other Title
  • 脳転移・皮膚転移を呈した膵癌の１例

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Description

A 50-year-old male, with a complaint of epigastric pain, visited a nearby clinic. CT demonstrated a mass in the pancreatic head, and he was referred to our hospital. Biochemistry showed elevated CA19-9, CEA, and amylase. Image modalities revealed diffusely swollen pancreas, a 30-mm mass at the pancreatic head with dilatation of the distal main pancreatic duct, and multiple 10-25-mm liver masses. Pancreatic juice cytology revealed cancer cells, and pancreatic cancer with liver metastasis complicated with pancreatitis was diagnosed. After the pancreatitis healed, gemcitabine (1,400mg, day 1, 8, and 15; off, day 22) plus tegaful/uracil compound (300mg, every day) were given. The tumor decreased in size until treatment termination due to interstitial pneumonia. With brain and skin metastases, he died on day 348. Although rare, brain and skin metastases of pancreatic cancer should be kept in mind as survival can be improved by advanced chemotherapy.<br>

Journal

  • Suizo

    Suizo 23 (1), 74-82, 2008

    Japan Pancreas Society

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