PMC3934044_01
Abdominal CT scan on admission revealed a giant solid mass (14.8 cm x 8.9 cm) in the pancreatic body, multiple nodules in the anterior and posterior segment of right lobe of liver about 8.5 cm x 3.7 cm and 7.2 cm x 3.1 cm and splenomegaly. A) Unenhanced CT; B) early phase of contrast-enhanced CT; C) portal phase of contrast-enhanced CT
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An abdominal CT scan found a giant solid mass (14.8 cm x 8.9 cm) in the pancreatic body, multiple nodules in the anterior and posterior segment of the right lobe of the liver about 8.5 cm x 3.7 cm and 7.2 cm x 3.1 cm and splenomegaly (Fig. 1).
Microscopic image of tumor showing the presence of pseudopapillary formations in the pancreas. A) Low magnification (100x); B) high magnification (400x). HE
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Microscopically, solid areas mainly consisting of monomorphic epithelioid cells and a moderate cellular atypia without mitotic activity were found (Fig. 2).
Microscopic image of tumor showing the presence of pseudopapillary formations in the liver metastases. A) Low magnification (100x); B) high magnification (400x). HE
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Characteristic pseudopapillary formations were frequently observed in the liver metastases (Fig. 3).
Three months after the surgery, CT revealed a metastatic mass in the medial segment of the left lobe of liver with a size of 5 cm x 3 cm. A) Unenhanced CT; B) early phase of contrastenhanced CT; C) portal phase of contrast-enhanced CT
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Surveillance CT scan performed 3 months after the surgery showed a metastatic mass in the medial segment of the left lobe of the liver with a size of 5 cm x 3 cm (Fig. 4).