Rapidly progressive diabetes as the first manifestation of adenocarcinoma of the pancreas

Authors

  • Francisca Beatriz Rivas-Sánchez Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain
  • Estíbaliz Romero-Masa Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain
  • María Rocío Pacheco-Yepes Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain
  • Antonio Luis Cuesta-Muñoz Hospital Doctor Gálvez, Málaga, Spain
  • Ricardo Gómez-Huelgas Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain

DOI:

https://doi.org/10.32818/reccmi.a2n2a3

Keywords:

diabetes mellitus , pancreatic cancer

Abstract

We report a case of a 67 year old man, who was diagnosed of type 2 diabetes mellitus in a routine analysis, and treated with diet, exercise and metformin. Twelve months after, the glycemic control remained inadequate and developed cardinal symptoms (polyuria, polydipsia, asthenia and progressive 12 kg weight loss) requiring starting insulin therapy. An abdominal CT showed a pancreatic mass that after a percutaneous biopsy was classified as pancreatic adenocarcinoma. This case emphasizes the importance of new-onset diabetes rapidly progressive as a clue to the diagnosis of pancreatic cancer.

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References

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Published

2017-08-31

How to Cite

1.
Rivas-Sánchez FB, Romero-Masa E, Pacheco-Yepes MR, Cuesta-Muñoz AL, Gómez-Huelgas R. Rapidly progressive diabetes as the first manifestation of adenocarcinoma of the pancreas. Rev Esp Casos Clin Med Intern [Internet]. 2017 Aug. 31 [cited 2024 May 19];2(2):68-70. Available from: https://www.reccmi.com/RECCMI/article/view/145

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