Features of the PET/CT Diagnosis of Primary Generalized Pancreatic Cancer. Clinical Case

Relevance: Tumors of the pancreas occupy the 6th place among men and the 7th place among the female population. Not the specificity of the symptoms of this type of tumor causes the diagnosis of the disease in the later stages. In almost 50 % of patients, at the time of primary diagnosis, the tumor extends beyond the body, a third identified distant metastases. The clinical picture depends on the location of the tumor. The diagnosis of this pathology presents certain difficulties and is based on a comprehensive analysis of the results of laboratory, instrumental and radiological studies, history and examination of the patient. High metabolic activity of pancreatic tumors allows the use of PET/CT examination in diagnosis and / or in determining the prevalence of the process.

Description: The clinical case demonstrates the course of the disease, manifested from remote metastases, without the identified primary focus. Symptoms of pancreatic malignancy are not specific and are not expressed. The diagnosis of this pathology presents certain difficulties and is based on a comprehensive analysis of the results of laboratory and radiological studies, anamnesis and patient examination data. Held instrumentalno-diagnostic measures to identify the primary tumor in this situation were unsuccessful. It was possible to identify the primary focus only at the autopsy.

Conclusions: Pancreatic tumors are one of the most aggressive current and poorly diagnosed formations. Massive generalization, mainly occurs with large sizes of the primary focus and / or progression of the process after the treatment. In this clinical situation, we can talk about the acultural form of pancreatic cancer with a massive generalization of the process. The pancreas lesion was not detected by any of the instrumental diagnostic methods of the study, nor in the course of open biopsy of retroperitoneal and liver formations.

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