The lesions were located in the pancreatic head
(n=3), body (n=2), head to body (n=1), and body to tail (n=2) (Fig.
On day 13 following surgery, a follow-up CT scan showed the aggravation of enlarged lymph nodes around the para aortic areas and pancreatic head
The current indication remains unchanged and clinical trials continue building on the foundation of Abraxane in combination with gemcitabine for a new wave of potential treatments, such as an ongoing Phase 2 cooperative group trial with SWOG S1505 (ClinicalTrials.gov, NCT02562716) investigating the safety and effectiveness of Abraxane in combination with gemcitabine as neoadjuvant treatment for localized pancreatic head
First the inferior vena cava and aorta, then the pancreatic head
was revealed by opening the gastrocolic ligament.
Endoscopic biliary drainage was performed revealing a distal common bile duct stricture A contrast enhanced CT confirmed a resectable pancreatic head
Approximately 60-70% of pancreatic adenocarcinomas are located in the pancreatic head
. Patients may present with abdominal pain, weight loss, or jaundice.
There are several causes of acute pancreatitis present in literature, two of which may relate to our case are extrinsic compression of pancreatic head
(hippokriate) and the Endoscopic retrograde cholangiopancreatography (ERCP), when used to treat gallstones (d and C pancreatitis).
Computed tomography of the abdomen showed evidence of common bile duct dilation, and a magnetic resonance cholangiopancreatography demonstrated narrowing of both the common bile duct and pancreatic duct with prominence of the pancreatic head
(2,5) Intraductal tubulopapillary neoplasms are most commonly located at the pancreatic head
(15 of 29; 52%), followed by the body (5 of 29; 17%) and tail (2 of 29; 7%).
Early this month, 27-year-old banker Marris Hernandez accidentally discovered that she had a neuro-endocrine cancer of the pancreatic head
Pancreaticoduodenectomy, pylorus-preserving pancreaticoduodenectomy, duodenum-preserving resection of the pancreatic head
(Beger), and Frey procedure, in which longitudinal pancreaticojejunostomy is applied with duodenumpreserving resection of the pancreatic head
, are the main techniques used (6, 7).
Approximately 65% of pancreatic tumors involve the pancreatic head
. While patients with body or pancreatic tail cancer present usually with metastatic disease, lesions arising in the pancreatic head
usually present with jaundice or symptoms related to duodenal obstruction.