[Duodenal ulcer clinically simulating pancreatic neoplasm].
A small fraction of solid mass in the head of the pancreas are inflammatory rather neoplastic in origin. The failure to recognize the true nature of a solid tumor in the head of pancreas may lead to an incorrect treatment strategy. This is a report of a patient with clinical history of pancreatic cancer which computed tomography showed a mass in the head of the pancreas with radiologic characteristics of malignancy. The patient underwent exploratory laparotomy with the finding of a mass in the head of the pancreas. The inflammatory palpable characteristic of the mass led to a intraoperative biopsy to confirm the preoperative diagnosis. With the benign result of the biopsy, the final diagnosis was duodenal ulcer which penetrates in the pancreatic parenchyma.
Machado
M A
MA
Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo.
Jukemura
J
J
Carlucci Júnior
D
D
Bacchella
T
T
da Cunha
J E
JE
Rocha
M S
MS
Machado
M C
MC
Pinotti
H W
HW
D003937:Diagnosis, Differential; D004381:Duodenal Ulcer / Q000175:diagnosis* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Ulcera duodenal simulando clinicamente o câncer de pâncreas.