Abstract
We observed a 31-year-old male suffering from general malaise and body weight loss for almost 6 months. He came to our hospital for examination, and the reports showed recently diagnosed diabetes (fasting plasma glucose 309 mg/dl, HbA1C 14.9%) with elevated carcinoembryonic antigen (CEA) 8.9 ng/ml (normal range 0-5 ng/ml) and carbohydrate antigen 19-9 (CA19-9) 123 U/ml (normal range 0-37 U/ml). Abdominal computed tomography (CT) revealed faint hypodensity at pancreatic head with mild dilatation of the main pancreatic duct. Positron emission tomography (PET) scan was then arranged to rule out malignancy and the report showed no abnormal fludeoxyglucose (FDG) uptake over the pancreatic head. After 3 months of anti-diabetic drugs treatment with lifestyle modification, his HbA1C fell to 6.8%. At the same time, the tumor markers also declined to normal (CEA 3.8 ng/ml, CA19-9 26.58 U/ml). (Published: 24 October 2012) Citation: Libyan J Med 2012, 7 : 19572 - http://dx.doi.org/10.3402/ljm.v7i0.19572
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