Publication: Diagnosis of Pancreatic Adenocarcinoma in a Case of 25-year-old Female from Nepal
Date
2024
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Pancreatic adenocarcinoma is one of the lethal form of malignant change involving
the pancreas. The median age of diagnosis is 71 years and is uncommon below
40 years. Here we intend to report an uncommon case of a 25-year-old woman
who presented to our institution with complaints of fever, severe abdominal pain.
The laboratory workup showed bicytopenia with USG abdomen revealing a bulky
pancreas. The Contrast Enhanced Computed Tomography and Magnetic Resonance
Cholangiopancreatography suggested malignancy followed by Fine Needle
Aspiration Cytology (FNAC) which confirmed the diagnosis of adenocarcinoma.
Pancreatic adenocarcinoma is the 14th most common cancer and 7th most
common cause of cancer death. Computed tomography is most useful modality
of investigation used to diagnose and stage the cancer. This is supported by FNAC
and CA19-9 tumor marker. The management includes surgical resection and
chemotherapy. Although pancreatic adenocarcinoma is uncommon among the
young population, it requires early management protocols.
KEY WORDS
CA 19-9 antigen, Case report, Nepal, Pancreatic cancer, Risk factors
Description
Bhattarai K,1 Bhandari A,2 Acharya A,1 Uprety S2
1Nepal Medical College and Teaching Hospital
Kathmandu, Nepal
2Helping Hands Community Hospital
Chabahil, Kathmandu, Nepal
Keywords
CA 19-9 antigen, Case report, Nepal, Pancreatic cancer, Risk factors