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CASE REPORT
Year : 2014  |  Volume : 23  |  Issue : 4  |  Page : 355-357

Carcinoma head of the pancreas masquerading as hepatocellular carcinoma: A case report


1 Department of Morbid Anatomy & Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
2 Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria
3 Department of Morbid Anatomy & Forensic Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria

Correspondence Address:
A E Omonisi
Department of Anatomic Pathology, College Of Medicine, Ekiti State University, P. M. B. 5363 Ado-Ekiti
Nigeria
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Source of Support: None, Conflict of Interest: None


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BACKGROUND: Cancer of the pancreas is the primary malignant tumour of the pancreas commonly seen in the elderly. Hepatitis B virus infection is not a known marker of the disease, but patient with carcinoma head of the pancreas presenting with epigastric mass with positive hepatitis B infection in the region of the world with high endemicity for hepatitis B virus infection may cause diagnostic pitfall. OBJECTIVE: To present a case of carcinoma head of the pancreas masquerading as hepatocellular carcinoma. METHODS: A review of the case note, autopsy findings including gross and microscopic examinations and literature was done. RESULTS: An elderly woman with history of weight loss and cigarette smoking.There was an epigastric mass and the liver was enlarged.The serum hepatitis B antigen was positive. Autopsy revealed an ill-defined mass in the head of the pancreas with metastasis to the liver. CONCLUSION: Things are not always what they seem.


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