A Diagnostic Dilemma of Pancreatic Adenocarcinoma: The Duct Cut-off Sign

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Author Info

Oyinem Odumah Jessica Pagé Mohammad Gilani Gary Kronfeld Mina Iskaros Leaque Ahmed

Corresponding Author

Oyinem Odumah
Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, New York, USA

A B S T R A C T

Pancreatic cancer carries one of the worst prognoses in the United States. It is the fourth leading cause of cancer-related death in the United States and second after colorectal cancer in digestive system cancer-related death. Early detection is the key to improving its prognosis. Surgical resection is the only curative treatment, but even after margin-negative resection, the 5-year survival rate is still 30%. The following case presents a fascinating diagnosis of pancreatic cancer. Despite an initial diagnosis of pancreatitis, negative cytology, tumor markers, and imaging suggestive of intraductal papillary mucinous neoplasm (IPMN), this patient underwent surgical resection that later revealed pancreatic adenocarcinoma of the tail. This article highlights certain imaging modalities and characteristics that are essential in the diagnosis of pancreatic adenocarcinoma, in an effort to guide management of similar cases, with hope it leads to better outcomes.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Sun 27, Feb 2022
Accepted: Tue 28, Jun 2022
Published: Thu 28, Jul 2022

Copyright

© 2023 Oyinem Odumah. 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. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2022.06.03