The article you requested is

Late-Onset Manic Episode in a 91-Year-Old Man Without Previous Psychiatric History as a Unique Clinical Manifestation of a Pancreatic Neoplasm

J Clin Psychiatry 2009;70(2):296-297 [letter]

Letter to the Editor

Sir: In as many as half of the patients who are finally diagnosed with a carcinoma of the pancreas, symptoms of anxiety precede the knowledge of the diagnosis. The link between pancreatic carcinoma and depression is also well known. To our knowledge, no case of manic-like symptoms as a unique clinical manifestation of a pancreatic carcinoma has ever been presented.