title: Intractable nausea in a patient with synchronous pancreatic cancer and a fourth-ventricular ependymoma.
abstract: Symptoms of nausea and vomiting can present a diagnostic challenge for physicians. In this article, we report a patient who was found to have synchronous presentation of an ependymoma and pancreatic cancer. This case illustrates some of the diagnostic challenges in patients with constitutional symptoms. Furthermore, it illustrates the importance of surgical intervention as both a diagnostic as well as a therapeutic measure when managing patients with presumed metastatic disease to the brain.
authors: Department of Radiation Oncology, SUNY Upstate Medical University, Syracuse NY, USA.
authors: Varun K
authors: VK
authors: Chowdhry
authors: David A
authors: DA
authors: Carter
authors: Anna
authors: A
authors: Shapiro
mesh_terms: D001932:Brain Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000532:radiotherapy*; D004806:Ependymoma / Q000175:diagnosis / Q000188:drug therapy / Q000532:radiotherapy*; D020546:Fourth Ventricle / Q000473:pathology; D005904:Glial Fibrillary Acidic Protein / Q000378:metabolism; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000175:diagnosis* / Q000188:drug therapy; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000188:drug therapy / Q000532:radiotherapy*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000532:radiotherapy*; D018714:Radiotherapy, Adjuvant; D009418:S100 Proteins / Q000378:metabolism; D014839:Vomiting
chemical_list: D005904:Glial Fibrillary Acidic Protein; D009418:S100 Proteins