Atlas of Gastroenterological Endoscopy
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Pankreatic carcinoma
Pancreatic carcinoma, duodenal penetration Pancreatic carcinoma, duodenal penetration
This lesion was first Diagnosisd as a duodenal ulcer, but was resistant to sufficiently dosed antisecretory therapy. Two follow- up endoscopies didnīt show any healing of the lesion. Histology at the second follow- up revealed a pancreatic cancer penetrating into the duodenal bulb.
Move the mouseīs arrow onto the pictures to show and colour the tumor.
Malignant ulcer due to pancreatic penetration This is another example of a pancreatic carcinoma penetrating to the duodenal bulb. At the dorsal wall the mucosa shows an ulcer surrounded by edematous mucosa. A doudenal stenosis distal to the bulb gives a hint towards the diagnosis of pancreatic carcinoma.