[A case of acinar cell carcinoma diagnosed by endoscopic ultrasound-guided fine-needle aspiration prior to surgical treatment].
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.
Mataki
Yuko
Y
Department of Surgical Oncology and Digestive Surgery, Kagoshima University. mataki@m.kufm.kagoshima-u.ac.jp
Shinchi
Hiroyuki
H
Kurahara
Hiroshi
H
Maemura
Kosei
K
Minami
Koji
K
Setoyama
Tetsuro
T
Ueno
Shinichi
S
Sakoda
Masahiko
M
Yamamoto
Takafumi
T
Takao
Sonshin
S
Natsugoe
Shoji
S
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