Acute Pancreatitis as a Possible Indicator of Pancreatic Cancer: The Importance of Mass Detection

Internal Medicine
Yuto KimuraYuzo Kodama

Abstract

The aims of this study were to assess the incidence of pancreatic cancer and the contributing factors for the diagnosis of tumors in patients with acute pancreatitis and to gain insight into how patients with acute pancreatitis should be followed up. Using the electronic medical database of Shizuoka General Hospital, 177 patients admitted for acute pancreatitis in the past 6 years were evaluated retrospectively for pancreatic cancer. Twelve patients (6.8%) were newly diagnosed with pancreatic cancer. During the first hospitalization, 5 patients (41.7%) with a detected pancreatic mass underwent surgical treatment: the final tumor stages were IA, IIA, and IIB in 1, 2, and 2 patients, respectively. In 7 patients (58.3%) without a detected pancreatic mass at the first admission, a pancreatic mass was recognized on follow-up computed tomography (CT) in 2 patients with main pancreatic duct (MPD) dilatation, and 1 patient with recurrent acute pancreatitis. The tumor stages were IA, IIA, and IA, respectively. Among the remaining 4 patients without follow-up, the tumor stage was IV. The patient gender, age, MPD dilatation, tumor marker, and serum amylase level were not significantly associated with pancreatic cancer. The detection of a ...Continue Reading

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Citations

Jul 28, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Rohit DasDhiraj Yadav
Feb 15, 2018·Cancers·Masataka KikuyamaTatsunori Satoh
Oct 30, 2019·World Journal of Gastroenterology : WJG·Qian FengYong-Hua Chen
Feb 6, 2019·Emergency Radiology·Jyoti NarayanswamiNikhil H Ramaiya
Apr 17, 2019·Acta Diabetologica·Valentina PasqualeLorenzo Piemonti
Mar 8, 2021·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Pankaj BharaliShivaram Prasad Singh
Sep 16, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jakob KirkegårdDeirdre Cronin-Fenton

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