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Rare case of acinar cell carcinoma with multiple lesions in the pancreas
We present the first case of pancreatic acinar cell carcinoma (PACC) with multiple lesions. A 55‐year‐old man with a pancretic tail mass on abdominal computed tomography (CT) was admitted to our hospital. Endoscopic ultrasound (EUS) showed a hypoechoic mass, and EUS‐guided fine‐needle aspiration (EU...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wiley Publishing Asia Pty Ltd
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731799/ https://www.ncbi.nlm.nih.gov/pubmed/33319067 http://dx.doi.org/10.1002/jgh3.12380 |
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author | Ikeda, Yuki Yoshida, Makoto Ishikawa, Kazuma Kubo, Tomohiro Kimura, Yasutoshi Hasegawa, Tadashi Miyanishi, Koji Kato, Junji |
author_facet | Ikeda, Yuki Yoshida, Makoto Ishikawa, Kazuma Kubo, Tomohiro Kimura, Yasutoshi Hasegawa, Tadashi Miyanishi, Koji Kato, Junji |
author_sort | Ikeda, Yuki |
collection | PubMed |
description | We present the first case of pancreatic acinar cell carcinoma (PACC) with multiple lesions. A 55‐year‐old man with a pancretic tail mass on abdominal computed tomography (CT) was admitted to our hospital. Endoscopic ultrasound (EUS) showed a hypoechoic mass, and EUS‐guided fine‐needle aspiration (EUS‐FNA) revealed the mass to be PACC. The patient underwent distal pancreatectomy, and two masses were identified in the pancreatic tail and body. Histologically, both masses had tumor cells similar to acinar cells and were positive for BCL‐10. The patient was thus diagnosed with synchronous PACC. Ten months after the surgery, abdominal CT revealed a mass in the remnant pancreas. EUS showed a hypoechoic mass, and EUS‐FNA determined it to be PACC. The patient underwent total remnant pancreatectomy. The histological imaging results were similar to those of the first resection. Finally, the patient was diagnosed with synchronous and metachronous PACC. The possibility of multiple occurrences in the pancreas should be considered with PACC. |
format | Online Article Text |
id | pubmed-7731799 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wiley Publishing Asia Pty Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-77317992020-12-13 Rare case of acinar cell carcinoma with multiple lesions in the pancreas Ikeda, Yuki Yoshida, Makoto Ishikawa, Kazuma Kubo, Tomohiro Kimura, Yasutoshi Hasegawa, Tadashi Miyanishi, Koji Kato, Junji JGH Open Case Reports We present the first case of pancreatic acinar cell carcinoma (PACC) with multiple lesions. A 55‐year‐old man with a pancretic tail mass on abdominal computed tomography (CT) was admitted to our hospital. Endoscopic ultrasound (EUS) showed a hypoechoic mass, and EUS‐guided fine‐needle aspiration (EUS‐FNA) revealed the mass to be PACC. The patient underwent distal pancreatectomy, and two masses were identified in the pancreatic tail and body. Histologically, both masses had tumor cells similar to acinar cells and were positive for BCL‐10. The patient was thus diagnosed with synchronous PACC. Ten months after the surgery, abdominal CT revealed a mass in the remnant pancreas. EUS showed a hypoechoic mass, and EUS‐FNA determined it to be PACC. The patient underwent total remnant pancreatectomy. The histological imaging results were similar to those of the first resection. Finally, the patient was diagnosed with synchronous and metachronous PACC. The possibility of multiple occurrences in the pancreas should be considered with PACC. Wiley Publishing Asia Pty Ltd 2020-06-29 /pmc/articles/PMC7731799/ /pubmed/33319067 http://dx.doi.org/10.1002/jgh3.12380 Text en © 2020 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Ikeda, Yuki Yoshida, Makoto Ishikawa, Kazuma Kubo, Tomohiro Kimura, Yasutoshi Hasegawa, Tadashi Miyanishi, Koji Kato, Junji Rare case of acinar cell carcinoma with multiple lesions in the pancreas |
title | Rare case of acinar cell carcinoma with multiple lesions in the pancreas |
title_full | Rare case of acinar cell carcinoma with multiple lesions in the pancreas |
title_fullStr | Rare case of acinar cell carcinoma with multiple lesions in the pancreas |
title_full_unstemmed | Rare case of acinar cell carcinoma with multiple lesions in the pancreas |
title_short | Rare case of acinar cell carcinoma with multiple lesions in the pancreas |
title_sort | rare case of acinar cell carcinoma with multiple lesions in the pancreas |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731799/ https://www.ncbi.nlm.nih.gov/pubmed/33319067 http://dx.doi.org/10.1002/jgh3.12380 |
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