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A large pancreatic mass in a young adult

  • Brooke Kowalski
    Affiliations
    Vanderbilt University School of Medicine, Nashville, TN

    Division of Surgical Oncology and Endocrine Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN
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  • Pranit N. Chotai
    Affiliations
    Comprehensive Transplant Center, The Ohio State University Wexner Medical Center, Columbus, OH

    Division of Surgical Oncology and Endocrine Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN
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  • Alexander Perez
    Affiliations
    Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN
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  • Kamran Idrees
    Correspondence
    Reprint requests: Kamran Idrees, MD, MSCI, MMHC, FACS, Vanderbilt University Medical Center, 2220 Pierce Avenue, 597 Preston Research Building, Nashville, TN 37232.
    Affiliations
    Division of Surgical Oncology and Endocrine Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN
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      A 20-year-old female patient with no significant medical history was referred to us for a large pancreatic mass with a 3-month history of worsening back pain radiating to the epigastrium. She also developed postprandial emesis, early satiety, persistent belching, fatigue, and a 40-pound unintentional weight loss. On exam, her hemodynamic parameters and the abdominal exam were unremarkable. Laboratory values, including blood count, chemistry, and liver function test, were unremarkable except for an elevated carcinoembryonic antigen (31.5 ng/mL).
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