Colloid Carcinoma of the Pancreas
Stanford Multidisciplinary Seminars
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Case Presentation and Evolution
A 70-year-old male presented with a several-month history of steatorrhea and a 50-pound weight loss. He denied abdominal, flank, or back pain. His past medical history was notable for type 2 diabetes mellitus, hyperlipidemia, and coronary artery disease. His past surgical history was unremarkable. He denied any alcohol use and had no history of pancreatitis. Work-up prior to presentation included a negative colonoscopy, and a computed tomography (CT) scan of the abdomen showed a diffusely enlarged pancreas with a markedly dilated main pancreatic duct. The gland was essentially replaced by calcifications and the splenic vein was occluded. No discrete solid pancreatic mass was seen (Fig. 1). There was no ultrasonographic evidence of gallstones. These findings were initially interpreted as chronic pancreatitis, and the patient was treated for pancreatic insufficiency with oral pancreatic enzyme supplementation.
KeywordsInvasive Carcinoma Pancreatic Adenocarcinoma Main Pancreatic Duct Intraductal Papillary Mucinous Neoplasm Steatorrhea
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