title: A case of pancreatic acinar cell carcinoma metastatic to skin.
abstract: We report a rare case of pancreatic acinar cell carcinoma with widespread metastases in a 68-year-old woman who presented with subcutaneous nodules as the initial symptom. Computed tomography showed a pancreatic mass with hepatic tumors and enlarged lymph nodes besides ring-enhanced subcutaneous nodules. Magnetic resonance diffusionweighted imaging detected the presence of lesions in other organs. Histological analysis of a colonic polypoid lesion revealed carcinoma with endocrine and acinar differentiation compatible with pancreatic origin. Regrettably, she died of a cerebral infarction without any treatment, and autopsy findings confirmed our diagnosis.
authors.affiliation: Department of Internal Medicine, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Minori
authors.initials: M
authors.lastname: Ikezoe
authors.forename: Tamao
authors.initials: T
authors.lastname: Nishihara
authors.forename: Kazunori
authors.initials: K
authors.lastname: Yanagawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Kohro
authors.forename: Takuro
authors.initials: T
authors.lastname: Yamai
authors.forename: Seriko
authors.initials: S
authors.lastname: Ikezoe
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yasunaga
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Inui
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nishikawa