Woman 25 yo with history of epigastric pain and jaundice slowly for one month.
Ultrasound of liver: big liver with dilatation of the biliary system.
US 1= CBD is in dilatation # 2cm.
US 2 = tumor from the head of pancreas and in extension to CBD.
US 3 = head of pancreas tumor.
Ultrasound makes diagnostic that pancreas head tumor moves to CBD.
MSCT with CE diagnoses again pancreas head tumor.
CT 1 : tumor looks like cystic pattern.
CT 2 : contrast enhancement in delay phase due to intratumoral bleeding.
CT 3 : vascular supply for this tumor.
CT report by radiologist is pancreas tumor in invasion to CBD.
Blood tests = CA19-9 = 4.96; CEA= 0.56; AFP= 0.3
Summary of this case = Young woman 25 yo has got tumor of head pancreas in invasion to CBD.
Operation of Whipple is done.
MICROSCOPIC REPORT IT IS SOLID PSEUDO PAPILLARY TUMOR IT IS BENIGN TUMOR OF PANCREAS KNOWN AS FRANKZ TUMOR.
COMMENT : IN THIS CASE, BLOOD TESTS CEA AND CA19-9 ARE NORMAL, THAT ARE SAME IN REPORT IN REFERENCE CASE REPORT BY WJG 2005.
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