Summary The serum and urine concentrations of a tumour-associated trypsin inhibitor, TATI, were determined by radioimmunoassay in patients with pancreatic cancer and with benign pancreatic and biliary diseases. Elevated serum levels (>20 pug1-1) were found in 85% of the patients with pancreatic cancer, and elevated urine levels (>50pgg-1 creatinine) in 96% of the patients. Immunohistochemical staining of pancreatic lesions showed that half of the pancreatic tumours expressed TATI, but the pancreatic tissue adjacent to a carcinoma always stained stronger than the carcinoma. It therefore seems that the main source of TATI in serum and urine of patients with pancreatic cancer are the normal acini and not the tumour tissue. In pancreatitis the staining was intense and clearly stronger than in normal pancreas.The tumour-associated trypsin inhibitor, TATI, is a 6000 dalton peptide, isolated from the urine of a patient with ovarian cancer Huhtala et al., 1982). Elevated concentrations have been found in the urine of patients with gynaecological cancer, in amniotic fluid and in some extracts from malignant tumours . TATI levels are also elevated in patients with pancreatitis and severe pneumonia (Huhtala et al., 1983 Murata et al., 1983). Immunohistochemically PSTI has been demonstrated in normal acinar cells, but could not be detected in tissue specimens of pancreatic cancer (Marks et al., 1984).In the present work that TATI levels in serum