1. A Highly Responsive Pancreatic Ductal Adenocarcinoma with Liver Metastasis: A Rare Case Report
- Author
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Xu,Yixin, Du,Jianguo, Wang,Yibo, Gong,Bo, Wang,Yue, Qian,Leiming, Tan,Yulin, Xu,Yixin, Du,Jianguo, Wang,Yibo, Gong,Bo, Wang,Yue, Qian,Leiming, and Tan,Yulin
- Abstract
Yixin Xu,1 Jianguo Du,1 Yibo Wang,1 Bo Gong,2 Yue Wang,3 Leiming Qian,4 Yulin Tan1 1Department of General Surgery, Changzhou Wujin People’s Hospital Affiliated to Jiangsu University; The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, People’s Republic of China; 2Department of Imaging, Changzhou Wujin People’s Hospital Affiliated to Jiangsu University; The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, People’s Republic of China; 3Department of Oncology, Changzhou Wujin People’s Hospital Affiliated to Jiangsu University; The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, People’s Republic of China; 4Department of Pathology, Changzhou Wujin People’s Hospital Affiliated to Jiangsu University; The Wujin Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, People’s Republic of ChinaCorrespondence: Yulin Tan Tel +86-0519-88587142Email tanyulindoctor@sina.comBackground: Pancreatic ductal adenocarcinoma (PDAC) is one of the most refractory and lethal cancer. The overall survival is dismal due to the high frequency of recurrence and metastasis after surgery and resistance to chemotherapy. Patients with the locally advanced or metastatic disease usually have the poorest prognosis. Herein, we report a rare highly responsive PDAC with liver metastasis.Case Presentation: A 49-year-old female presented with dull abdominal and back pain, discomfort after eating, fatigue, and recent weight loss of 5 kg. Clinical examination was normal and no relevant oncological history was observed. A routine blood test showed low red blood cell count and low hemoglobin level. Markedly increased carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 125 levels were detected. Computer tomography (CT) of the abdomen revealed a massive pancreatic tumor with the invasion of almost all important surrounding blood vessels and li
- Published
- 2021