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Letters to the Editor

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

Andrea Murru, Piero Castro, Raul Sanchez, Antonio Benabarre, and Eduard Vieta

Published: May 15, 2009

Article Abstract

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

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