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Case Reports
. 2020 Oct 30:2020:8815745.
doi: 10.1155/2020/8815745. eCollection 2020.

Diffuse Pancreatic Carcinoma with Hepatic Metastases

Hoang Quan Nguyen  1 , Ngoc Trinh Thi Pham  2 , Van Trung Hoang  3 , Hoang Anh Thi Van  3 , Chinh Huynh  4 , Duc Thanh Hoang  5
Affiliations
Case Reports

Diffuse Pancreatic Carcinoma with Hepatic Metastases

Hoang Quan Nguyen et al. Case Rep Oncol Med. .

Abstract

Pancreatic cancer is one of the seven leading causes of cancer death worldwide. Diffuse pancreatic carcinoma is very rare and underreported in the literature. Many advances have been made in the diagnosis and management of pancreatic cancer. However, most pancreatic cancer cases are detected at the terminal or metastatic stages. Therefore, timely diagnosis and therapeutic management are desirable goals for this disease. Although the proliferation of pancreatic cancer has been reduced by intervention, more work is needed to treat and prevent the disease. The purpose of this article is to present a case of a 54-year-old male with pancreatic cancer and to review the epidemiology, diagnosis, management, and prevention of pancreatic tumors in general as well as pancreatic carcinoma in particular.

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Conflict of interest statement

All authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Contrast-enhanced CT images in the arterial (a) phase and delayed (b) phase. CT shows a sausage-shape enlargement of the pancreas (arrows), with relatively homogenously remarkable enhancement in the arterial phase and washout in the delayed phase with the capsule-like rim at the surface (arrowheads). The pancreatic duct did not dilate.
Figure 2
Figure 2
CT images before (a) and in the late arterial (b), portal venous (c), and delayed (d) phases after contrast administration. The metastases hyper enhance dramatically in the arterial phase and subsequently fade toward mild hypoattenuation relative to the liver in the delayed phase (arrows). Some portions of the lesions do not enhance, suggesting necrosis. Many similar lesions are scattered throughout the liver parenchyma (not shown).
Figure 3
Figure 3
MRI on T1-weighted image (a), T2-weighted image (b), and arterial phase (c) and delayed phase (d) in T1-weighted image with fat-sat after contrast administration. MRI shows a diffusely enlarged pancreas with low intensity on T1-weighted imaging and heterogeneous high intensity on T2-weighted imaging, particularly in the body and tail region of the pancreas. The pancreas also shows remarkable enhancement in the arterial phase and washout in the delayed phase.
See this image and copyright information in PMC

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