A case of acinar cell carcinoma of the pancreas / 대한내과학회지
Korean Journal of Medicine
;
: 506-509, 2009.
Article
Dans Coréen
| WPRIM
| ID: wpr-183142
ABSTRACT
Acinar cell carcinoma of the pancreas is a rare tumor that constitutes 1~2% of all pancreatic cancers. The clinical and radiologic findings are inconclusive when diagnosing this disease. Acinar cell carcinoma progresses rapidly and metastasizes early, resulting in a poor prognosis. A 41-year-old man was admitted for abdominal pain. Abdominal computed tomography (CT) and positron emission tomography (PET)-CT showed a splenic mass involving the pancreatic tail with increased 18F-fluorodeoxyglucose (18F-FDG) uptake. A primary radical distal pancreatectomy and splenectomy were carried out. The pathology revealed acinar cell carcinoma of the pancreas. Three months later, a gastric recurrence was detected and a total gastrectomy was performed. Four months later, multiple hepatic metastases were found and a left hepatectomy was carried out. During treatment with capecitabine, no evidence of tumor progression was observed for 14 months. We report a case of metastatic pancreatic acinar cell carcinoma that did not progress for 14 months with capecitabine treatment.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pancréas
/
Pancréatectomie
/
Tumeurs du pancréas
/
Pronostic
/
Récidive
/
Splénectomie
/
Douleur abdominale
/
Carcinome à cellules acineuses
/
Désoxycytidine
/
Tomographie par émission de positons
Type d'étude:
Étude pronostique
Limites du sujet:
Adulte
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Medicine
Année:
2009
Type:
Article
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