RATIONALE Carcinosarcoma, an extremely rare pancreatic primary tumor, is characterized by coexistence of both carcinomatous and sarcomatous components. Due to its rarity, the clinical manifestation and imaging features have not been recognized. An accurate diagnostic method has not been available and a widely accepted guidelines instructing treatment has not been established. PATIENT CONCERNS...

An 84-year-old Japanese man presented with abdominal fullness and anorexia in September 2006. Computed tomography demonstrated extension of the stomach and the duodenum with a thickened wall. It showed marked dilatation of the main pancreatic duct (MPD) (A; arrowhead) and fistulization into the stomach (A; arrow) and the duodenum (B; arrow). Endoscopic examination demonstrated the skip ulcerati...

A 63-year-old insulin-dependent diabetic womanpresented to ourmultidisciplinary group for evaluation and management of multifocal cystic lesions of the pancreas found incidentally by computed tomography during an evaluation of diverticulitis. Initial assessment included endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) by curved linear array echoendoscope. Near-total replacement of ...

A 64-year-old man presented with a weight loss of 10 kg over 1 year and insomnia. CT scan revealed an approximate 3.0 cm homogeneous low-density mass in the head of pancreas. Tumor markers including CEA, CA125, AFP and CA199 were not elevated. The patient’s serum levels of amylase, lipase and calcium were normal. The patient received the pancreatoduodenectomy on 3 March 2010 and the postoperati...