Jang Seung Hun, Choi Sung Youn, Min Jae Hoon, Kim Tae Wan, Lee Ji Ae, Byun Sun Jeong, Lee Jae Woong
Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2010 Feb;55(2):139-43. doi: 10.4166/kjg.2010.55.2.139.
Pancreas acinar cell carcinoma (ACC) accounts for only 1-2% of pancreatic exocrine malignant tumor. The symptoms of patients with ACC are usually non-specific, for example the anorexia and weight loss. Patients may develop Schmid's triad including subcutaneous fat necrosis, polyarthritis, and eosinophilia. We reported a case of ACC which was manifested by subcutaneous nodule as initial clinical symptom. To our knowledge, this is the first reported case of ACC presenting as subcutaneous fat necrosis in Korea.
胰腺腺泡细胞癌(ACC)仅占胰腺外分泌恶性肿瘤的1%-2%。ACC患者的症状通常不具有特异性,如厌食和体重减轻。患者可能会出现施密德三联征,包括皮下脂肪坏死、多关节炎和嗜酸性粒细胞增多。我们报告了一例以皮下结节为首发临床症状的ACC病例。据我们所知,这是韩国首例报告的以皮下脂肪坏死为表现的ACC病例。