alexa Abstract | Liver Abscesses Mimicking Metastatic Disease in a Patient with Pancreatic Cancer Following Neoadjuvant FOLFIRINOX Therapy

JOP. Journal of the Pancreas
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)


Context Based on the results of the ACCORD11/PRODIGE4 Trial, FOLFIRINOX is nowadays increasingly used in a neoadjuvant setting in borderline resectable or locally advanced pancreatic cancer. Case report We report the case of a 59 year old jaundiced patient with a mass in the pancreatic head that was initially judged unresectable by an explorative laparotomy. The patient was referred for FOLFIRINOX chemotherapy. At the time of restaging the patient had developed three liver lesions that were suspicious for liver metastases on both CT and MRI imaging. Ultrasonography guided biopsy revealed no malignancy but positive microbiology suggestive for cholangitis abscesses. This was confirmed by a second explorative laparotomy in which the primary tumor was resected with an uneventful postoperative course. Conclusion Liver abscesses are a known complication of FOLFIRINOX treatment and are sometimes difficult to differentiate from metastases. Therefore, newly developed liver lesions under FOLFIRINOX treatment must be thoroughly analyzed prior to making a decision against surgery. In cases of uncertainty an explorative laparotomy/laparoscopy must be considered.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Jan G DHaese Christoph W Michalski Konstantin Holzapfel Jrg Kleeff


Liver Abscess, Pyogenic, Pancreatic Neoplasms, Pancreatic Cancer

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version