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Pancreatic Adenocarcinoma with Stomach Wall Invasion: Can it be Foreseen?

Rafay Khan, Waqas Jehangir, Sunil Tulpule, Shaza Mohamed, Abdul Mahmad, Mohammed Islam


Introduction: The association of adenocarcinoma found in the pancreas and stomach wall is a relatively rare condition as is any metastasis from the pancreas to the stomach.  Pancreatic carcinoma associated with additional gastric cancer is also relatively uncommon.  The most frequent sites of metastasis reported for pancreatic adenocarcinoma are the lymph nodes, lung, liver, adrenal glands, kidney, and bone.  We report a case of adenocarcinoma of the pancreas associated with a separate adenocarcinoma of the stomach wall.  Not enough research has been placed on properly distinguishing these two forms of malignancies.

Presentation of Case: In this case report we discuss the presentation of an 87 year old female who presented with abdominal pain and was found to have multiple sites of metastasis of Adenocarcinoma of pancreatic origin with direct spread to the stomach wall.

Conclusion: The characteristics of this combination of gastric and pancreatic adenocarcinoma, whether there is a direct correlation or through local metastasis, needs to be further investigated to shed light on this condition.


Pancreas; Stomach; Adenocarcinoma; Metastasis

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