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June 16, 1962

Carcinoma of the Tail of the Pancreas Presenting with Gastrointestinal Bleeding

Author Affiliations

New York City

JAMA. 1962;180(11):974-975. doi:10.1001/jama.1962.03050240070018b
Abstract

CARCINOMA of the body and tail of the pancreas is, at present, an almost incurable disease, the patient having an average life expectancy of about 9 months after the appearance of symptoms. Rare and reportable cases survive as long as 2 years. To our knowledge only one long survivor (7 years) is reported. The poor prognosis is due in large part to the late appearance of specified findings. Abdominal pain is usually obscure and nonspecific; jaundice is usually absent or occurs late in association with hepatic metastases. Many authors have emphasized the importance of early diagnosis if this prognosis is to be improved. The following report stresses specific signs of pancreatic carcinoma demonstrated by a patient 10 months before the histologie diagnosis was made.

Report of a Case

Within the year preceding her first admission to Memorial Center, a 68-year-old lady had been studied at 3 other hospitals. In order

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