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Jornal Português de Gastrenterologia

Print version ISSN 0872-8178

Abstract

FREIRE, P. et al. Adenocarcinoma of the pancreas locally advanced an metastized with complete response to chemotherapy . J Port Gastrenterol. [online]. 2007, vol.14, n.1, pp.26-30. ISSN 0872-8178.

The authors present a case study of a 54-year-old white female patient, who went to her regular physician complaining of abdominal pain and constitutional symptoms. An ultrasound revealed a pancreatic mass and hepatic nodular formations compatible with secondary lesions. This finds was subsequently confirmed by computed tomography, which revealed that the pancreatic tumor wasn't resectable due to invasion of the mesenteric vessels and the duodenum. Ultrasound guided biopsy obtained a sample which pathology revealed to be an adenocarcinoma of the pancreas. The patient was submitted to chemotherapy, showing progressive clinical improvement. Imaging reevaluation, after 7 cycles, detected neither the primary lesion nor the secondary lesions, suggesting a complete response. A regular chemotherapy plans was maintained, and the patient remains in remission after an 8 months follow up period.

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