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Document Details :
Title: Snel evolutief ziektebeeld bij een dame van middelbare leeftijd
Author(s): DELRUE L, CASNEUF V, SANDERS M, RENARD V, ELEWAUT A, DUYCK PH
Journal: Tijdschrift voor Geneeskunde
Volume: 62 Issue: 1 Date: 2006
Fulminant evolutive disease in a middle-aged patient
A 54-year-old woman with a short history of abdominal pain, without weight loss, is reported. Computed tomography disclosed a mass of 3 cm diameter in the tail of the pancreas with multiple liver metastases, thrombosis of the splenic vein and a metastatic lesion in the adrenal gland. CA 19.9 levels were elevated. The diagnosis of a pancreatic cancer was confirmed by punction biopsy of a liver metastasis.
One week later the patient became confused with diffuse intravascular coagulation due to thrombophlebitis migrans (Trousseau’s syndrome) and died within two weeks.
Diagnosis and staging of pancreatic cancer are discussed.