title: [A case of acinar cell carcinoma diagnosed by endoscopic ultrasound-guided fine-needle aspiration prior to surgical treatment].
abstract: A 65-year-old woman was admitted with upper abdominal pain and pyrexia. She was given a diagnosis of acute pancreatitis and treated with intravenous infusion. After recovering, abdominal enhanced-CT showed a low density area in the head of the pancreas, measuring 2 cm in maximum dimension. Endoscopic ultrasound guided fine-needle aspiration (EUS-FNA) revealed acinar cell carcinoma (ACC). She underwent curative subtotal stomach-preserving pancreaticoduodenectomy. The definitive diagnosis, based on the histopathological examinations including immunohistochemical staining, was ACC. ACC of the pancreas is extremely rare, occurring in approximately 1% of all cases of pancreatic neoplasm. We report a rare case diagnosed as ACC by EUS-FNA prior to surgical treatment.
authors.affiliation: Department of Surgical Oncology and Digestive Surgery, Kagoshima University. mataki@m.kufm.kagoshima-u.ac.jp
authors.forename: Yuko
authors.initials: Y
authors.lastname: Mataki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shinchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kurahara
authors.forename: Kosei
authors.initials: K
authors.lastname: Maemura
authors.forename: Koji
authors.initials: K
authors.lastname: Minami
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Setoyama
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ueno
authors.forename: Masahiko
authors.initials: M
authors.lastname: Sakoda
authors.forename: Takafumi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Sonshin
authors.initials: S
authors.lastname: Takao
authors.forename: Shoji
authors.initials: S
authors.lastname: Natsugoe
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods*; D018267:Carcinoma, Acinar Cell / Q000473:pathology* / Q000601:surgery; D019160:Endosonography; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery; D016577:Pancreaticoduodenectomy