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A Case of the Week

Case 200

 Case 1
An eighty eight-year-old male periodically (once per two months) presented in our hospital for follow-up of gastric ulcer, small brain infarction and pneumoconiosis (asbestosis). Further, he had another reason to come that periodic laboratory test revealed getting high values of amylase, CEA and CA19-9, suspicious of chronic pancreatitis. He quitted to drink alcohol two years ago. The latest laboratory test revealed that CEA 29.6 ng/ml and CA19-9 251 U/ml. Abdominal ultrasound showed low echoic area in the pancreas tail. He agreed to take enhanced-CT with contrast medium for further investigation (Figs 1, 2).

Case 2
An eighty four-year-old male presented in our hospital for slight fever and griping pain after meals. Laboratory test revealed CEA 5.6 ng/ml and CA19-9 1402 U/ml. He gave an informed consent to receive enhanced abdominal CT with contrast medium (Figs 3-5).

What is the imaging diagnosis?

1. Pancreatitis

2. Mass-forming pancreatitis

3. Pancreas cancer

4. Pancreas endocrine tumor

5. Pancreas hamartoma



2020.8.5



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