title: Carcinoma head of the pancreas masquerading as hepatocellular carcinoma: a case report.
abstract: BACKGROUND
  Cancer of the pancreas is the primary malignant tumour of the pancreas commonly seen in the elderly. Hepatitis B virus infection is not a known marker of the disease, but patient with carcinoma head of the pancreas presenting with epigastric mass with positive hepatitis B infection in the region of the world with high endemicity for hepatitis B virus infection may cause diagnostic pitfall.
  
  
  OBJECTIVE
  To present a case of carcinoma head of the pancreas masqueradingas hepatocellular carcinoma
  
  
  METHODS
  A review of the case note, autopsy findings including gross and microscopic examinations and literature was done.
  
  
  RESULTS
  An elderly woman with history of weight loss and cigarette smoking.There was an epigastric mass and the liver was enlarged. The serum hepatitis B antigen was positive. Autopsy revealed an ill-defined mass in the head of the pancreas with metastasis to the liver.
  
  
  CONCLUSIONS
  Things are not always what they seem.
authors.forename: A E
authors.initials: AE
authors.lastname: Omonisi
authors.forename: A O
authors.initials: AO
authors.lastname: Adisa
authors.forename: O O
authors.initials: OO
authors.lastname: Olaofe
authors.forename: G O
authors.initials: GO
authors.lastname: Omoniyi-Esan
authors.forename: B J
authors.initials: BJ
authors.lastname: Olasode
mesh_terms: D000368:Aged; D001344:Autopsy; D006528:Carcinoma, Hepatocellular / Q000473:pathology; D021441:Carcinoma, Pancreatic Ductal / Q000097:blood / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006514:Hepatitis B Surface Antigens / Q000097:blood; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000097:blood / Q000473:pathology*
chemical_list: D006514:Hepatitis B Surface Antigens