Abstract
Pancreatic adenocarcinoma is a form of cancer with ominous prognosis which occurs particularly among men above 50 years old with genetic predisposition and environmental and lifestyle risk factors. The incidence is low in patients less than 50 years old. We report a case of a 35 year old male, who was admitted to our hospital complaining of difficulty in breathing, and was found to have a mediastinal mass, a right subscapular mass, a duodenal polyp, a thickening of the roof of the right orbit. Immunostains of the right subscapular mass showed positivity for CK19, CK7 and focal positivity for B-HCG and alpha fetoprotein
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