title: [A case of liver metastasis of mixed acinar-endocrine carcinoma treated with various loco-regional cancer therapies].
abstract: Mixed acinar-endocrine carcinoma of pancreas is a very rare tumor. We report a 60s female patient with pancreatic mixed acinar-endocrine carcinoma and liver metastasis. The patient admitted for further examination of pancreatic head mass. Computed tomography scan of abdomen showed a large tumor in pancreatic head and liver tumor. Angiography revealed a presence of embolism in portal vein. We conducted a pylorus-preserved pancreatoduodenectomy with resection of the portal vein on the diagnosis of acinar cell carcinoma by fine needle aspiration biopsy. Pathological examination showed a mixed acinar-endocrine carcinoma. Following the operation, the liver metastasis was controlled with various loco-regional cancer therapies.
authors.affiliation: Dept. of Surgical Oncology (First Dept. of Surgery), Osaka City University Graduate School of Medicine.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Nishii
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Amano
authors.forename: Shigetomi
authors.initials: S
authors.lastname: Nakao
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Doi
authors.forename: Nobuya
authors.initials: N
authors.lastname: Yamada
authors.forename: Masaichi
authors.initials: M
authors.lastname: Ohira
authors.forename: Kosei
authors.initials: K
authors.lastname: Hirakawa
mesh_terms: D000368:Aged; D000792:Angiography; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use*; D001706:Biopsy; D018267:Carcinoma, Acinar Cell / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed