TY - JOUR T1 - IMage of the month—quiz case AU - Echenique-Elizondo M Y1 - 2003/10/01 N1 - 10.1001/archsurg.138.10.1157 JO - Archives of Surgery SP - 1157 EP - 1157 VL - 138 IS - 10 N2 - A 57-year-old woman had symptoms of epigastric fullness and a palpable mass. A computed tomographic (CT) scan showed a well-defined pancreatic tumor localized in the body (Figure 1). The patient was scheduled for surgery. At celiotomy, a large capsulated pancreatic tumor was identified, and a distal near-total pancreatectomy with splenectomy was performed (Figure 2). The patient recovered uneventfully and is free of disease 8 years later. Results of a glucose tolerance test are within normal limits despite extended pancreatic resection. SN - 0004-0010 M3 - doi: 10.1001/archsurg.138.10.1157 UR - http://dx.doi.org/10.1001/archsurg.138.10.1157 ER -