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Clin J Gastroenterol. 2010 Feb;3(1):36-9. doi: 10.1007/s12328-009-0122-8. Epub 2009 Nov 26.

Small multicentric pancreatic carcinoma usefully diagnosed by positron emission tomography.

Clinical journal of gastroenterology

Chiaki Kamikado, Kouji Takumi, Tomomi Wakiyama, Akira Nakamura, Osamu Sawatani, Kazunari Kitazono, Takahisa Yoshida, Shuuhei Taguchi

Affiliations

  1. Department of Surgery, Kagoshima Tokushukai Hospital, 3-8-1 Shimoarata, Kagoshima, 890-0056, Japan. [email protected].
  2. Department of Radiology, Kagoshima University School of Medicine, Kagoshima, Japan.
  3. Department of Surgery, Kagoshima Tokushukai Hospital, 3-8-1 Shimoarata, Kagoshima, 890-0056, Japan.
  4. Department of Internal Medicine, Kagoshima Tokushukai Hospital, Kagoshima, Japan.
  5. Department of Pathology, Fukuoka Tokushukai Hospital, Fukuoka, Japan.
  6. Department of Tumor Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

PMID: 26189905 DOI: 10.1007/s12328-009-0122-8

Abstract

Pancreatic carcinoma has a poor prognosis, and early detection is essential for potentially curative resection. Despite a wide array of diagnostic tools, pre-operative detection of small pancreatic carcinomas is difficult. We report a case of pancreatic carcinoma that was bicentric and small. The head mass was diagnosed by computed tomography (CT), while the tail mass, which was suspected but indeterminate on CT, was diagnosed by positron emission tomography (PET). Thus, total pancreatectomy was performed. The PET results prevented our patient from undergoing tail mass biopsy, multiple surgeries and non-curative operation.

Keywords: Fusion positron emission tomography; Multicentric carcinoma; Pancreas carcinoma

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