title: [An autopsied case of giant small cell carcinoma of the pancreas].
abstract: A 58-year-old man who complained of an abdominal tumor was admitted to our hospital. Abdominal CT scan showed that a 15-cm tumor occupied the entire right upper abdomen and that there were ascites and liver metastases. A liver biopsy was performed. The liver biopsy showed a small cell carcinoma pattern, but no definitive origin of the tumor was determined. Considering the extensive peritoneal invasion and multiple liver metastases, he received 2 / courses of cisplatin/etoposide chemotherapy, but his tumor became larger with concomitant abdominal pain and nausea. The patient suddenly died due to multiple organ failure caused by tumor necrosis. The autopsy revealed a pathological diagnosis of primary small cell carcinoma of the pancreas.
authors.affiliation: Dept. of Surgery, Osaka Police Hospital, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Yamagami
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Ueshima
authors.forename: Shin
authors.initials: S
authors.lastname: Mizutani
authors.forename: Fumihiro
authors.initials: F
authors.lastname: Uchikoshi
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Ohyama
authors.forename: Katsuhide
authors.initials: K
authors.lastname: Yoshidome
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tori
authors.forename: Kazuya
authors.initials: K
authors.lastname: Hiraoka
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Takahashi
authors.forename: Koichiro
authors.initials: K
authors.lastname: Sueyoshi
authors.forename: Masaki
authors.initials: M
authors.lastname: Taira
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kido
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sakamaki
authors.forename: Motoaki
authors.initials: M
authors.lastname: Yasukawa
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Oka
authors.forename: Masahiko
authors.initials: M
authors.lastname: Tsujimoto
authors.forename: Masaaki
authors.initials: M
authors.lastname: Nakahara
authors.forename: Kazuyasu
authors.initials: K
authors.lastname: Nakao
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001344:Autopsy; D018286:Carcinoma, Giant Cell / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D018288:Carcinoma, Small Cell / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis / Q000000981:diagnostic imaging / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D011859:Radiography