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Pancreas Cancer

ca125 has been elevated even was posted 08/31/2007 02:14 am by in our male pc pts
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J R Soc Health. 2000 Mar;120(1):47-51.Links Comment in: J R Soc Health. 2000 Dec;120(4):268-70. Lessons to be learned: a case study approach: ascites and elevated serum CA 125 due to a pancreatic carcinoma. A diagnostic dilemma.Ahmed AS, Long M, Donaldson D. Obstetrics and Gynaecology Department, East Surrey Hospital, Redhill.

A 72 year-old lady with unrecognised cancer of the body of the pancreas presented with a 4-month history of progressive loss of weight and ascites. The results of laboratory investigations were either negative or within normal limits--apart from a raised serum CA 125 level; no tumour mass was detected on diagnostic imaging. She underwent exploratory laparotomy for a suspected ovarian tumour, but this proved not to be the correct diagnosis. A serum CA 19-9 level was subsequently requested and found to be significantly raised; a second contrast CT scan then showed the presence of ill-defined peri-aortic tissue. A further exploratory laparotomy was carried out in order to establish the true nature of the problem; a large pancreatic carcinoma was revealed.

PMID: 10918784 [PubMed - indexed for MEDLINE]

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