Mataki Yuko, Shinchi Hiroyuki, Kurahara Hiroshi, Maemura Kosei, Minami Koji, Setoyama Tetsuro, Ueno Shinichi, Sakoda Masahiko, Yamamoto Takafumi, Takao Sonshin, Natsugoe Shoji
Department of Surgical Oncology and Digestive Surgery, Kagoshima University.
Nihon Shokakibyo Gakkai Zasshi. 2010 Aug;107(8):1328-34.
A 65-year-old woman was admitted with upper abdominal pain and pyrexia. She was given a diagnosis of acute pancreatitis and treated with intravenous infusion. After recovering, abdominal enhanced-CT showed a low density area in the head of the pancreas, measuring 2 cm in maximum dimension. Endoscopic ultrasound guided fine-needle aspiration (EUS-FNA) revealed acinar cell carcinoma (ACC). She underwent curative subtotal stomach-preserving pancreaticoduodenectomy. The definitive diagnosis, based on the histopathological examinations including immunohistochemical staining, was ACC. ACC of the pancreas is extremely rare, occurring in approximately 1% of all cases of pancreatic neoplasm. We report a rare case diagnosed as ACC by EUS-FNA prior to surgical treatment.
一名65岁女性因上腹部疼痛和发热入院。她被诊断为急性胰腺炎并接受了静脉输液治疗。康复后，腹部增强CT显示胰腺头部有一个低密度区域，最大直径为2厘米。内镜超声引导下细针穿刺活检（EUS-FNA）显示为腺泡细胞癌（ACC）。她接受了保留胃的根治性胰十二指肠次全切除术。基于包括免疫组织化学染色在内的组织病理学检查，最终诊断为ACC。胰腺ACC极为罕见，约占所有胰腺肿瘤病例的1%。我们报告了一例在手术治疗前通过EUS-FNA诊断为ACC的罕见病例。
