Abstract
PANC-it WITH EGGS CROSSTALK: A CASE REPORT OF PANCREATIC MALIGNANCY WITH OVARIAN METASTASIS
Lux Anne Marjes, M.D 1; Kenneth Samala, M.D 2; Roberto. De Guzman, Jr. M.D.,3 . Maria Claudia Chavez, M.D 4 Victoria Rowena Sese, M.D 5
Our Lady of Lourdes Hospital
Clinical Presentation: Pancreatic cancer is the fourth leading cause of cancer-related death and has a dismal prognosis. It tends to metastasize through the lymphoid system to organs such as the lung, liver, bone, and spleen. 1 However, pancreatic cancer with ovarian metastases is rare. Pancreatic cancer that has metastasized to the ovaries is found in 4%-6% of patients during autopsy but it is rarely diagnosed clinically. Patients with an ovarian metastasis generally have no distinguishing clinical symptoms or signs. 2 Here we present an interesting case of a 40 year old Filipino female with a two month history of bloatedness, early satiety, abdominal enlargement and undocumented weight loss; however, there was no noted history of vaginal bleeding or hypogastric tenderness. Abdominal imaging revealed a pancreatic mass, highly considering a pancreatic malignancy. She underwent an exploratory laparotomy to biopsy the pancreatic mass, however, during the procedure, there was also noted masses involving both ovaries which prompted a bilateral salpingo-oophorectomy. Histopathology results showed an adenocarcinoma involving the pancreas and ovaries. The final diagnosis was pancreatic carcinoma with ovarian metastasis. It is necessary to determine the site of primary malignancy for appropriate treatment and a chance for decrease mortality among patients. Due to its poor prognosis and high mortality rate, early detection and diagnosis would be beneficial to patients for a better chance of overall survival.
Important Dates to Remember
| JRRE Activities 2023-2024 |
Proposed Dates |
|---|---|
| Resumption of face-to-face Evidence-Based Medicine Workshop Venue to be announced once finalized. |
July 21, 2023 (Friday), 1-5pm |
| Monthly Critical Appraisal of Topics Conferences to be gaciliated by Research Coordinators per Institution | Monthly Critical Appraisal of Topics Conferences per Institution |
| CAT Plenary/Liver Con Dates: September 23, 2023 December 16, 2023 March 2024 (During the JAC) Resumption of face-to-face Quarterly Critical Appraisal of Topics facilitated by the JRRE |
2 Clinical scenarios and articles are to be sent to institutions each on August 2023, November 2023, and February 2024; |
| Hybrid Research Workshop 4 week asynchronous via Moodle, followed by a 1 day on-site Onsite Workshop Research Protocol Presentation for Level I GI Fellows-In-Training - Research Protocol Presentation: August 12, 2023 - Research Forums of the Tripartite Societies |
Week 1: July 15-21, 2023 Week 2: July 22-28, 2023 Week 3: July 29-August 4, 2023 Week 4: August 5-11, 2023 |
| Research Manuscript Workshop for level II GI Fellows-In-Training | January 6, 2024 |