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October 13, 1962

Carcinoma of the Tail of the Pancreas

Author Affiliations

Director of Medical Education Memorial Hospital of Long Beach, Long Beach 6, Calif.

JAMA. 1962;182(2):212. doi:10.1001/jama.1962.03050410108029

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To the Editor:—  In the June 16 issue of The Journal, in the article "Carcinoma of the Tail of the Pancreas Presenting with Gastrointestinal Bleeding" (180:974), the statement is made, with respect to pancreatic carcinoma, "To our knowledge only one long survivor (7 years) is reported."4 The reference cited appeared in a 1934 publication.The authors of the article justifiably point out the extremely poor prognosis of carcinoma of the pancreas when the neoplastic process is located in the body and tail of the pancreas. On the other hand, it may not be readily appreciated that when the carcinoma is situated in the head of the pancreas, the outlook, at times, may be much brighter, as is indicated by the following reports of long-term survival in pancreatic cancer:

  1. "Role of Biopsy and Radical Operation in the Management of Carcinoma of the Head of Pancreas" (Ann Surg 150:290

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