A case of diabetes mellitus accompanied by tumor-forming pancreatitis that was difficult to distinguish from pancreatic cancer

Rie Nishitani, Keiko Ashidate, Mitsunobu Kawamura, Yoshihiro Ogawa

Research output: Contribution to journalArticle

Abstract

A 44-year-old-man was diagnosed with diabetes in a medical examination and was admitted to our hospital due to hyperglycemia (FPG 285 mg/dL, HbAlc 10.8 %). He had experienced acute pancreatitis on 3 occasions. The laboratory data on admission revealed that the patient's CEA and DUPAN-2 levels were elevated. Abdominal enhanced CT and MRI demonstrated a tumor of 3 cm in diameter in the pancreatic head. Although pancreatic cancer was strongly suspected, a PET scan was negative. A percutaneous biopsy of the pancreas and a cytological analysis of the pancreatic juice were performed and the pathological diagnosis was tumor-forming pancreatitis. The acute onset of diabetes is considered to be a predictive marker of pancreatic cancer. It is very difficult to differentiate tumor-forming pancreatitis from pancreatic cancer. We should therefore make a comprehensive diagnosis using imaging, an analysis of the tumor marker levels, and a pathological examination.

Original languageEnglish
Pages (from-to)37-41
Number of pages5
JournalJournal of the Japan Diabetes Society
Volume60
Issue number1
Publication statusPublished - Jan 1 2017

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Pancreatic Neoplasms
Pancreatitis
Diabetes Mellitus
Pancreatic Juice
Neoplasms
Patient Admission
Tumor Biomarkers
Hyperglycemia
Positron-Emission Tomography
Pancreas
Biopsy

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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A case of diabetes mellitus accompanied by tumor-forming pancreatitis that was difficult to distinguish from pancreatic cancer. / Nishitani, Rie; Ashidate, Keiko; Kawamura, Mitsunobu; Ogawa, Yoshihiro.

In: Journal of the Japan Diabetes Society, Vol. 60, No. 1, 01.01.2017, p. 37-41.

Research output: Contribution to journalArticle

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