alexa A Case of Inconspicuous Pancreatic Cancer with Invasion of the Celiac Axis and Superior Mesenteric Artery
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

A Case of Inconspicuous Pancreatic Cancer with Invasion of the Celiac Axis and Superior Mesenteric Artery

Masayuki Shibata1*, Toru Matsui1, Hirotoshi Ishiwatari1, Hiroyuki Matsubayashi1, Takahiro Tsushima2, Keiko Sasaki3 and Hiroyuki Ono1

1Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan

2Division of Gastrointestinal Oncology Shizuoka Cancer Center, Shizuoka, Japan

3Division of Pathology, Shizuoka Cancer Center, Shizuoka, Japan

Corresponding Author:
Masayuki Shibata
Division of Endoscopy
Shizuoka Cancer Center, Shizuoka, Japan
Tel: +81-55-989-5222
Fax: +81-55-989-5222
E-mail: [email protected]

Received March 10, 2016; Accepted May 10, 2016; Published May 16, 2016

Citation: Shibata M, Matsui T, Ishiwatari H, Matsubayashi H, Tsushima T, et al. (2016) A Case of Inconspicuous Pancreatic Cancer with Invasion of the Celiac Axis and Superior Mesenteric Artery. J Clin Case Rep 6:783. doi:10.4172/2165-7920.1000783

Copyright: © 2016 Shibata M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



A 66-year-old man was referred to our hospital due to carbohydrate antigen 19-9 (CA19-9) elevation. Further examination revealed no obvious malignancy, but abdominal enhanced computed tomography (CT) showed soft tissue density around the celiac axis and superior mesenteric artery (SMA). Although pancreatic cancer was considered as a possible diagnosis, there was no clear evidence within the pancreas itself. Furthermore the patient was observed without intervention. Another abdominal enhanced CT performed 10 months later showed a dilated pancreatic duct in the tail of the pancreas, along with a low density area measuring 10 mm in the body of the pancreas. Endoscopic ultrasound guided-fine needle aspiration (EUSFNA) led to a diagnosis of pancreatic cancer. In the present case, the tumor in the pancreas was inconspicuous, but it might be characterized by extensive extrapancreatic invasion.


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