A case of pancreatic carcinoma diagnosed by intraductal US after lithotripsy for pancreatolithiasis.

There are a number of reports of the occurrence of pancreatic carcinoma in patients with chronic calcific pancreatitis,1-4 but the relationship between the two diseases remains controversial.5,6 The diagnosis of pancreatic carcinoma coexisting with chronic pancreatitis is difficult, and serum carbohydrate antigen (CA19-9) determinations and fine-needle aspiration biopsy each have been recommended for the purpose.5 But even with these methods, early detection and correct diagnosis cannot be ensured. This is a report of a patient with pancreatolithiasis treated by extra-corporeal shockwave lithotripsy (ESWL). Subsequently the patient was also found to have pancreatic carcinoma by intraductal ultrasonography (IDUS) and endoscopic biopsy.

[1]  K. Inui,et al.  Endoluminal ultrasonography for pancreatic diseases. , 1999, Gastroenterology clinics of North America.

[2]  W. Schlosser,et al.  Prognostic value of CA 19-9 serum course in pancreatic cancer. , 1998, Hepato-gastroenterology.

[3]  G. Costamagna,et al.  Extracorporeal shock wave lithotripsy of pancreatic stones in chronic pancreatitis: immediate and medium-term results. , 1997, Gastrointestinal endoscopy.

[4]  Y. Hirooka,et al.  Intraductal ultrasonography of the pancreas: development and clinical potential. , 1997, Endoscopy.

[5]  K. Inui,et al.  [The studies of extracorporeal shock wave lithotripsy (ESWL) for pancreatic ductal stones]. , 1997, Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology.

[6]  J. Sahel,et al.  Endoscopic Ultrasonographic Diagnosis of Pancreatic Cancer Complicating Chronic Pancreatitis , 1996, Endoscopy.

[7]  M. Miyaji,et al.  Single application extracorporeal shock wave lithotripsy is the first choice for patients with pancreatic duct stones. , 1996, The American journal of gastroenterology.

[8]  M. Trauner,et al.  Sonographically‐guided extracorporeal shockwave lithotripsy for pancreatic stones in patients with chronic pancreatitis , 1996, Journal of gastroenterology and hepatology.

[9]  A. Andrén-sandberg,et al.  Pancreatitis and the risk of pancreatic cancer , 1993 .

[10]  Y. Nimura,et al.  A Case of Pancreatolithiasis Treated by a Combination of Endoscopic Extraction and Extracorporeal Shock Wave Lithotripsy , 1992 .

[11]  G. Guillard,et al.  Pancreatic carcinoma developing in chronic pancreatitis: a report of four cases. , 1990, Hepato-gastroenterology.

[12]  J. Vij,et al.  Development of carcinoma in chronic calcific pancreatitis , 1990, International journal of pancreatology : official journal of the International Association of Pancreatology.

[13]  S. Sironi,et al.  Photocopying permitted by license only 1989 Harwood Academic Publishers GmbH Printed in Great Britain CT-GUIDED PANCREATIC PERCUTANEOUS FINE- NEEDLE BIOPSY IN DIFFERENTIAL DIAGNOSIS BETWEEN PANCREATIC CANCER AND CHRONIC PANCREATITIS , 1988 .

[14]  J. Sung,et al.  Pancreatic carcinoma associated with chronic calcifying pancreatitis in Taiwan: a case report and review of the literature. , 1988, Pancreas.

[15]  T. Sauerbruch,et al.  Disintegration of a Pancreatic Duct Stone with Extracorporeal Shock Waves in a Patient with Chronic Pancreatitis , 1987, Endoscopy.

[16]  S. Bank.  Chronic pancreatitis: clinical features and medical management. , 1986, The American journal of gastroenterology.

[17]  R. Ammann,et al.  Course and outcome of chronic pancreatitis. Longitudinal study of a mixed medical-surgical series of 245 patients. , 1984, Gastroenterology.

[18]  P. Pederzoli,et al.  Evolution of pain in chronic relapsing pancreatitis: a study of operated and nonoperated patients. , 1983, The American journal of gastroenterology.