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Case Records of the Massachusetts General Hospital
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Volume 352:2734-2741 June 30, 2005 Number 26
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Case 20-2005 — A 58-Year-Old Man with Locally Advanced Pancreatic Cancer
David P. Ryan, M.D., Carlos Fernandez-del Castillo, M.D., Christopher G. Willett, M.D., William R. Brugge, M.D., Dushyant Sahani, M.D., and Elena F. Brachtel, M.D.

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Presentation of Case

A 58-year-old man was seen in the gastrointestinal oncology clinic of the cancer center of this hospital for management of pancreatic cancer.

He had been in his usual state of health until four months earlier, when abdominal computed tomography (CT), performed to evaluate a kidney stone, revealed an incidental finding of a small abdominal aortic aneurysm, for which further evaluation was advised. One month later, abdominal ultrasonography showed an ectatic aorta with a maximal anteroposterior diameter of 2.9 cm; no definite aneurysm was identified. One month later, abdominal and pelvic CT performed with oral and intravenous contrast material disclosed an . . . [Full Text of this Article]

Differential Diagnosis

Issues in the Management of Pancreatic Cancer

Surgical Management of Pancreatic Cancer

Preoperative and Postoperative Chemotherapy and Radiation

Anatomical Diagnosis


Source Information

From the Departments of Hematology and Oncology (D.P.R.), Surgery (C.F.-C.), Radiology (D.S.), and Pathology (E.F.B.), and the Division of Gastroenterology, Department of Medicine (W.R.B.), Massachusetts General Hospital, Boston; the Departments of Medicine (D.P.R., W.R.B.), Surgery (C.F.-C.), Radiology (D.S.), and Pathology (E.F.B.), Harvard Medical School, Boston; and the Department of Radiation Oncology, Duke University Medical Center, Durham, N.C. (C.G.W.).




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