A Case of Gastric Canser complicated with Parotitis

Abstract

A 77-years old man admitted to our hospital, complaining of abdominal distension and dull epigastric pain.
Fluoloscopic and endoscopic examination of the stomach, he was diagnosed of cancer of the stomach.(Borrman III), Adenocarcinoma.
He had been treated with only anticancer drugs, because of old age and his anxiety for the operation.
However, he was getting worse gradually and suffered from a severe pain on the cervical region, a few days before his death.
His post-mortem examination revealed gastric cancer metastase to the pancreas and parotitis.
During his course, his serum amylase isozyme pattern changed to pancreatic dominant pattern from normal, then to carotic dominant pattern.
This case suggests the possible organ relationship between the pancreas and the parotis from the view point of amylase isozyme.