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Carcinoma head of the pancreas masquerading as hepatocellular carcinoma: a case report
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 masqueradingas 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.
