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(A) Abdominal computed tomography (CT) showed pancreatic head and tail tumors and (B) endoscopic examination revealed a submucosal tumor in the duodenum prior to chemotherapy. The (C) abdominal CT and (D) endoscopic findings after 6 cycles of chemotherapy revealed that the pancreatic tumors in the head and tail of the pancreas had shrunk following vinorelbine and methotrexate chemotherapy.
