A 65 year-old man with anorexia, epigastric pain and weight loss # 2kilogram for one month but without nausea nor jaundice
Abdomen ultrasound detected some metastase nodes in the liver may come from the tail of the pancreas tumor.
A hypoechoic mass at the spleen hilus # 35 mm was revealed through the spleen window that leads to a pancreatic tail tumor.
Lab data was not any interesting clue for diagnosis.
MSCT confirmed a pancreas tumor of the pancreatic tail and metastase liver.
Biopsy of metastases liver nodule was done. The result of the liver biopsy was an endocrinological pancreatic tumor.
Endocrinological pancreatic tumor is still a rare entity and hardly to diagnose. It has to combine some kinds of the diagnostic imaging as the diversity and complexities of the tumor.