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Original Article
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Korean J Med. 2009;76(4):506-509.
- 췌장 선방세포암 1예
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김규영, 이화정, 지준호, 이정림, 이원식, 박종훈, 손경락
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- A case of acinar cell carcinoma of the pancreas
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Kyu Young Kim, Hwa Jung Lee, Jun Ho Ji, Jung Lim Lee, Won Sik Lee, Jong Hoon Park, Kyung Rak Shon
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- 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. (Korean J Med 76:506-509, 2009)
Keywords :Pancreas, Carcinoma, Acinar cell, Capecitabine
