Nishii Takafumi, Amano Ryosuke, Nakao Shigetomi, Doi Yosuke, Yamada Nobuya, Ohira Masaichi, Hirakawa Kosei
Dept. of Surgical Oncology (First Dept. of Surgery), Osaka City University Graduate School of Medicine.
Gan To Kagaku Ryoho. 2008 Nov;35(12):2126-8.
Mixed acinar-endocrine carcinoma of pancreas is a very rare tumor. We report a 60s female patient with pancreatic mixed acinar-endocrine carcinoma and liver metastasis. The patient admitted for further examination of pancreatic head mass. Computed tomography scan of abdomen showed a large tumor in pancreatic head and liver tumor. Angiography revealed a presence of embolism in portal vein. We conducted a pylorus-preserved pancreatoduodenectomy with resection of the portal vein on the diagnosis of acinar cell carcinoma by fine needle aspiration biopsy. Pathological examination showed a mixed acinar-endocrine carcinoma. Following the operation, the liver metastasis was controlled with various loco-regional cancer therapies.
胰腺混合性腺泡-内分泌癌是一种非常罕见的肿瘤。我们报告一例60多岁的女性患者，患有胰腺混合性腺泡-内分泌癌并伴有肝转移。该患者因进一步检查胰头肿物入院。腹部计算机断层扫描显示胰头有一个大肿瘤以及肝脏肿瘤。血管造影显示门静脉存在栓塞。通过细针穿刺活检诊断为腺泡细胞癌后，我们进行了保留幽门的胰十二指肠切除术并切除门静脉。病理检查显示为混合性腺泡-内分泌癌。术后，通过各种局部区域癌症治疗方法控制了肝转移。
