Cytologically Yours: CoW: 20140213
The patient is a 66yo old male presenting with jaundice.
Past Medical History
- History of prostate cancer 5 years ago.
- Chronic back pain
Past Surgical History
- Prostatectomy (2009)
- Thyroidectomy (2004)
- Ultrasound of head of pancreas shows a 43mm x 23mm ill defined mass.
The differential diagnosis included pancreatic adenocarcinoma and metastatic prostate cancer.
We ordered PSA, CK7, and CA19.9.
- Metastatic prostate carcinoma.
- CK7 Negative
- CA19.9 Negative
- PSA Positive
Metastatic prostate carcinoma to the pancreas is rare; however, long term survival of prostate cancer may increase the incidence. Renal cell carcinoma is the most metastatic pancreatic tumor.