title: [A case of acinar cell carcinoma of pancreas, manifested by subcutaneous nodule as initial clinical symptom].
abstract: Pancreas acinar cell carcinoma (ACC) accounts for only 1-2% of pancreatic exocrine malignant tumor. The symptoms of patients with ACC are usually non-specific, for example the anorexia and weight loss. Patients may develop Schmid's triad including subcutaneous fat necrosis, polyarthritis, and eosinophilia. We reported a case of ACC which was manifested by subcutaneous nodule as initial clinical symptom. To our knowledge, this is the first reported case of ACC presenting as subcutaneous fat necrosis in Korea.
authors.affiliation: Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Seung Hun
authors.initials: SH
authors.lastname: Jang
authors.forename: Sung Youn
authors.initials: SY
authors.lastname: Choi
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Min
authors.forename: Tae Wan
authors.initials: TW
authors.lastname: Kim
authors.forename: Ji Ae
authors.initials: JA
authors.lastname: Lee
authors.forename: Sun Jeong
authors.initials: SJ
authors.lastname: Byun
authors.forename: Jae Woong
authors.initials: JW
authors.lastname: Lee
mesh_terms: D018267:Carcinoma, Acinar Cell / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005218:Fat Necrosis / Q000473:pathology; D006801:Humans; D007633:Keratins / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D050151:Subcutaneous Fat / Q000473:pathology*; D016708:Synaptophysin / Q000378:metabolism; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D016708:Synaptophysin; D007633:Keratins