Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acinar Cell Carcinoma with Morphological Change in One Month
Mio Ikeda, Shin Miura, Shin Hamada, Takanori Sano, Ryotaro Matsumoto, Yu Tanaka, Seiji Hongo, Naoki Yoshida, Tetsuya Takikawa, Kazuhiro Kikuta, Kiyoshi Kume, Tatsuo Hata, Michiaki Unno, Yuko Omori, Toru Furukawa, Atsushi Masamune
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Keywords: ERCP, EUS, pancreatic cancer, pancreatic tumor
JOURNAL OPEN ACCESS

2021 Volume 60 Issue 17 Pages 2799-2806

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Abstract

A 64-year-old man was admitted to our hospital to undergo examination of a pancreatic tumor accompanied by sudden epigastric pain. The tumor had a well-defined oval shape that was mostly less enhanced, with the exception of part of the tumor on the pancreatic head side, on contrast enhanced (CE)-CT. However, CE-CT performed one-month later revealed that the viable part of the tumor grew toward the pancreatic tail with the reduction of necrotic tissue. We performed distal pancreatectomy and the tumor was diagnosed as acinar cell carcinoma (ACC). One important characteristic of ACC is that it may develop morphological changes within a short period of time.

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© 2021 by The Japanese Society of Internal Medicine
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