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Published 27 February 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.08.2008.0620]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Rare disease

Brain metastases from pancreatic adenocarcinoma

Aziz Zaanan1, Marie Lequoy1, Bruno Landi1, Astrid Lievre1, Dominique Franco2, Julien Taïeb1

1 Assistance Publique Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Gastroentérologie, 20 rue Leblanc, 75015 Paris, France
2 Assistance Publique Hôpitaux de Paris, Hôpital Antoine-Béclère, Service de Chirurgie générale, 157 rue de la Porte de Trivaux 92140, Clamart, France

Correspondence to:
aziz.zaanan{at}gmail.com

SUMMARY

Brain metastases from pancreatic adenocarcinoma (PA) are extremely rare. We report the case of a patient with PA treated by chemotherapy for liver and lung metastases. In spite of efficient control of the disease and an overall survival of more than 4 years with chemotherapy, the patient developed brain metastases. Brain metastases were revealed by headaches with mental confusion, and diagnosed by cerebral computed tomography scan. Treatment by radiotherapy could not be started because of the rapid fatal outcome of the disease.

Trial registration number: reference pubmed (PMID): 17158774


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