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Metastatic carcinoma of the pancreas simulating primary bronchogenic carcinoma
Author(s) -
Germain Cassiere S.,
McLain David A.,
Brooks Emory W.,
Hatch Hurst B.
Publication year - 1980
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19801115)46:10<2319::aid-cncr2820461033>3.0.co;2-z
Subject(s) - medicine , pancreas , autopsy , lung cancer , adenocarcinoma , carcinoma , lung , cancer , bronchogenic carcinoma , radiology , metastatic carcinoma , biopsy , pathology
A retrospective study of 294 patients with biopsy‐ or autoposy‐proven adenocarcinoma of the pancreas was done. The initial diagnosis of ten patients (3.4%) was primary lung cancer. All ten patients were cigarette smokers. Hilar adenopathy with mediastinal widening was the most common roentgenographic appearance. Tumors of the body and tail of the pancreas more often appeared to be primary lung tumors than did tumors of the head of the pancreas (about 10% vs. about 1%). Adverse consequences of this unrecognized phenomenon may include unnecessary lung surgery for some cancer patients and overreporting of deaths from lung cancer.