Case Presentation

Disease ReviewMalignant pancreatic tumorEpidemiologyThe fourth leading cause of cancer death in US3%M>F60-80yrs ( rare in under 40 ) Risk factors : family history of pancreatic cancer, hereditary or chronic pancreatitis, cigarette smoking, occupational exposure to carcinogenRelationship with DM : controversial AnatomyPancreas division 1) Major papilla : Duct of Wirsung(ventral pancreas) 2) Minor papilla : Duct of Santorini(sup head, neck, body,tail)Blood supply 1) Gastroduodenal artery