Woman
25 yo with history of epigastric pain and jaundice slowly for
one month.
Ultrasound
of liver: big liver with dilatation of the biliary system.
US
1= CBD is in dilatation # 2cm.
US
2 = tumor from the head of
pancreas and in extension to CBD.
US
3 = head of pancreas tumor.
Ultrasound
makes diagnostic that pancreas head
tumor moves to CBD.
MSCT
with CE diagnoses again pancreas
head tumor.
CT
1 : tumor looks like cystic
pattern.
CT
2 : contrast enhancement in delay phase due to intratumoral bleeding.
CT
3 : vascular supply for this tumor.
CT
report by radiologist is pancreas tumor in invasion to CBD.
Blood
tests = CA19-9 = 4.96; CEA= 0.56; AFP= 0.3
Summary
of this case = Young woman 25
yo has got tumor of head pancreas in
invasion to CBD.
Operation
of Whipple is done.
MICROSCOPIC REPORT IT IS SOLID PSEUDO PAPILLARY TUMOR IT IS BENIGN TUMOR OF PANCREAS KNOWN AS FRANKZ TUMOR.
COMMENT : IN THIS CASE, BLOOD TESTS CEA AND CA19-9 ARE NORMAL, THAT ARE SAME IN REPORT IN REFERENCE CASE REPORT BY WJG 2005.
REFERENCE =
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