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Panic as a Harbinger of Pancreatic Cancer

Received March 23, 2007; revised May 9, 2007; accepted May 18, 2007. From the Salem Veterans Affairs Medical Center, Univ. of Virginia–Roanoke/Salem Program, Univ. of Virginia, Dept. of Psychiatry, and VA College of Osteopathic Medicine. Send correspondence and reprint requests to Benjamin T. Griffeth, M.D., Salem VAMC, Mental Health, Code 116A7, 1970 Roanoke Blvd., Salem, VA 24153. e-mail: benjamin.griffeth{at}va.gov
© 2008 The Academy of Psychosomatic Medicine

BACKGROUND: Previous literature has discussed the diagnosis of cancer with psychiatric symptoms. There are noted associations made between pancreatic cancer and depression and anxiety symptoms both in literature and textbooks. METHOD: The authors discuss the case of a patient who presented with anxiety and panic attacks before his diagnosis of pancreatic cancer. CONCLUSION: There has been a previous association noted between depression and anxiety and pancreatic cancer; however, this work and another report have noted panic episodes preceding diagnosis, as well. These symptoms could prove to be an important marker for early detection.

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