PMC3887377_01
Computed tomography (CT) findings during the course of the disease.. (A). Abdominal wall mass (yellow) and pancreas mass (green) at the time of initial diagnosis. (B). After 1st-line chemotherapy, the disease virtually disappeared. (C). A massive amount of left pleural effusion was seen after salvage chemotherapy.
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Computed tomography (CT) and positron emission tomography (PET) scans showed multiple malignant masses, involving the pancreas and left upper abdominal wall, and pleural seeding was also noted (Fig. 1A). After completing a 1-year course of cytotoxic chemotherapy, the patient achieved near complete remission, with disappearance of the multiple masses and pleural seeding (Fig. 1B). However, soon afterward, the patient developed rapidly progressive disease with a massive amount of left pleural effusion after the 5th cycle of VIP (Fig. 1C).