Abstract
No less than 56% cases of pancreatic cancer with long duration type 2 diabetes (DM) failed to show any clinical symptoms at the time of diagnosis. This rate was statistically significantly higher than that in cases with usual pancreatic cancer (12%). The better cases in usual pancreatic cancer, with regards to clinical stage, radical resection rate, and overall survival, were found to be more significantly frequent in cases without any symptoms. Whereas a similar tendency was found in each of the stated categories, there was not statistically significant difference in cases with DM. To discover the disease as early as possible, and improve the prognosis, imaging and diagnostic examinations should be performed regularly during following up of patients with type 2 diabetes mellitus.
A prospective study with a larger population is warranted to confirm our recommendation as sample size of the cases with DM was small.