title: Peri-ampullary mixed acinar-endocrine carcinoma.
abstract: Mixed acinar-endocrine carcinomas (MAEC) are rare tumors of the pancreas. We present the case of a patient with periampullary tumor that presented with painless jaundice and after investigation was found to have MAEC. He underwent pancreaticoduo-dunectomy with tumor free margins and negative lymph nodes. The patient presented with local recurrence and liver metastasis after 1 year and is on chemotherapy with stable lesions 30 months after the diagnosis.
authors.affiliation: Department of Internal medicine, Oncology unit, American University of Beirut Medical Center, Beirut, Lebanon;
authors.forename: Ayman
authors.initials: A
authors.lastname: Soubra
authors.forename: Walid
authors.initials: W
authors.lastname: Faraj
authors.forename: Jad
authors.initials: J
authors.lastname: Saab
authors.forename: Ali
authors.initials: A
authors.lastname: Shamseddine