A 46-year male patient is complaining about increasing pain in the upper part of the abdomen. Two months ago he suffered from attack of pain with vomiting. After that the pain didn't disapear but became constant. Objectively: 10 cm smooth tumor with marked edges under right rib arbor is palpable. On X-ray: deviation of stomach to the right, ESR-55 mm/h, Hb-13.3g%. No leucocytosis. Biochemical tests are normal. Your preliminary diagnosis:

A 46-year male patient is complaining about increasing pain in the upper part of the abdomen. Two months ago he suffered from attack of pain with vomiting. After that the pain didn't disapear but became constant. Objectively: 10 cm smooth tumor with marked edges under right rib arbor is palpable. On X-ray: deviation of stomach to the right, ESR-55 mm/h, Hb-13.3g%. No leucocytosis. Biochemical tests are normal. Your preliminary diagnosis:

A 46-year male patient is complaining about increasing pain in the upper part of the abdomen. Two months ago he suffered from attack of pain with vomiting. After that the pain didn't disapear but became constant. Objectively: 10 cm smooth tumor with marked edges under right rib arbor is palpable. On X-ray: deviation of stomach to the right, ESR-55 mm/h, Hb-13.3g%. No leucocytosis. Biochemical tests are normal. Your preliminary diagnosis:




A. Hepatic tumor
B. Stomach cancer
C. Pancreatic cyst
D. Insulinoma
E. Pylorostenosis


Answer: C. Pancreatic cyst


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