A case of an early diagnosis of a pancreatic tail tumor in a patient with isolated gastric vein dilatation

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Abstract

The article provides an example of early diagnosis of pancreatic cancer with isolated dilatation of the veins of the stomach. Using ultrasound, CT and MRI methods of the abdominal organs revealed hepatomegaly and diffuse heterogeneity of the pancreatic parenchyma in the patient. Laparoscopic distal resection of the pancreas with splenectomy was performed. Histological examination verified low-grade ductal adenocarcinoma. Conducted a course of chemotherapy. Thus, an adequate interpretation of the results of routine instrumental studies makes it possible to verify oncopathology at an early stage, which improves the prognosis, duration and quality of life of the patient.

About the authors

S. B. Kuzmichev

9th Medical and Diagnostic Center of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: 9ldc@mil.ru
Russian Federation, Moscow

M. E. Gryaznova

9th Medical and Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: 9ldc@mil.ru
Russian Federation, Moscow

R. Yu. Chumakov

9th Medical and Diagnostic Center of the Ministry of Defense of the Russian Federation

Email: 9ldc@mil.ru
Russian Federation, Moscow

References

  1. Гайворонский И.В. Нормальная анатомия человека / Учебник для медицинских вузов. Т. 1. – СПб: СпецЛит, 2011. – 567 с.
  2. Гарбузенко Д.В. Лечебная тактикапри кровотечениях из варикозно расширенных вен желудка // Анналы хирургической гепатологии. – 2007. – Т. 12, № 1. – С. 96–102.
  3. Чиссов В.И. Онкология: Национальное руководство. Краткое издание / Под ред.В.И.Чиссова, М.И.Давыдова. – М.: ГЭОТАР-Медиа, 2017. – 576 с.
  4. Al Attar L., Rowe K., Nehme F., Tofteland N. Isolated gastric varices: a rare presentation of pancreatic cancer // Amer. j. of gastroenterology. – 2017. – Vol. 112. – P. 727.

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Copyright (c) 2023 Kuzmichev S.B., Gryaznova M.E., Chumakov R.Y.



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