Abstract
An unusual case of pancreatic body cancer with only massive hematemesis and melena was reported. The 69-year-old male complaining his first hematemesis without other symptoms admitted to our hospital in emergency. Gastrof iberscopy and UGI series showed a profound ulcerating tumor locating at the posterior wall of the upper gastric body, with a biopsy suggesting poorly differentiated adenocarcinoma. Gastric cancer was also suspected on CT scan. Laparotomy was performed under a diagnosis of gastric cancer, but it was considered non-resectable because of wide retroperitoneal and intestinal spread. After the surgery, massive hematmesis and melena continued, the patient died of uncontrollable GI bleeding. On autopsy a tumor measuring 12±10cm was found mainly at the pancreatic body and tail with penetration into gastric wall, duodenum and transverse colon. Histopathologically it showed adenosquamous carcinoma of pancreatic origin.
