Available online Jul 19, 2018.
[ Report ] Volume 23, Issue 4, 2014, Pages 355-357
BACKGROUND:Cancer of the pancreas is the primary malignant tumour of the pancreas commonly seen in
the elderly.Hepatitis B virus infection is not a known marker of the disease,but patient with carcinoma head of the
pancreas presenting with epigastric mass with positive hepatitis B infection in the region of the world with high
endemicity for hepatitis B virus infection may cause diagnostic pitfall.
OBJECTIVE:To present a case of carcinoma head of the pancreas masquerading as hepatocellular carcinoma.
METHODS: A review of the case note, autopsy findings including gross and microscopic examinations and
literature was done.
RESULTS: An elderly woman with history of weight loss and cigarette smoking.There was an epigastric mass
and the liver was enlarged.The serum hepatitis B antigen was positive.Autopsy revealed an ill-defined mass in the
head of the pancreas with metastasis to the liver.
CONCLUSION: Things are not always what they seem
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Volume 23 | Issue 4
Page Nos. 355-357
Online since Jul 13, 2018