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2008 | 3 | 4 | 525-527
Tytuł artykułu

Laparoscopic distal pancreatectomy of an acinar cell carcinoma

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Acinar cell carcinoma (ACC) of the pancreas is relatively rare, accounting for only approximately 1% of all exocrine pancreatic tumors. Because ACC of the pancreas is rare, strategy for management needs to be explored. The patient was a 50-year-old man who presented with left upper quadrant pain over 6 months. A mass lesion, located at the pancreatic tail, measuring approximately 4 cm in diameter was found on ultrasound, abdominal dynamic CT. The patient underwent a laparoscopic distal pancreatectomy. Immunohistochemical stains and electron microscopic examination of the tumor was consistent with ACC. No complication occurred, and the patient was discharged in good condition on 10th postoperative day. During the 10 months of follow-up, CT and tumor markers revealed no recurrence. In conclusions, Laparoscopic distal pancreatectomy can be performed safely for selected patients with nonmetastatic ACC at a favorable anatomic position. This operative strategy offers a minimally invasive surgery with the aim of a potential cure.
Wydawca

Czasopismo
Rocznik
Tom
3
Numer
4
Strony
525-527
Opis fizyczny
Daty
wydano
2008-12-01
online
2008-10-22
Twórcy
autor
  • General Surgery Department, Shanghai Ruijin Hospital, Shanghai Jiaotong University, 200025, Shanghai, China
autor
  • General Surgery Department, Shanghai Ruijin Hospital, Shanghai Jiaotong University, 200025, Shanghai, China, shenbaiyong@medmail.com.cn
autor
  • General Surgery Department, Shanghai Ruijin Hospital, Shanghai Jiaotong University, 200025, Shanghai, China
autor
  • General Surgery Department, Shanghai Ruijin Hospital, Shanghai Jiaotong University, 200025, Shanghai, China
Bibliografia
  • [1] Hartman G.G., Ni H, Pickleman J., Acinar cell carcinoma of the pancreas, Arch. Pathol. Lab. Med., 2001, 125, 1127–1128
  • [2] Ordonez N.G., Pancreatic Acinar cell carcinoma, Adv. Anat. Pathol., 2001, 8, 144–59 http://dx.doi.org/10.1097/00125480-200105000-00003[Crossref]
  • [3] Kloppel G., Mixed exocrine-endocrine tumors of the pancreas, Semin. Diagn. Pathol., 2000, 17, 104–8
  • [4] Fujino Y., Kuroda Y., Miyazaki N., Takenaka A., Yao C., Fujimori T., et al., A case of lipase-secreting acinar cell carcinoma with subctaneous fat necrosis, Nippon Shokakibyou Gakkai Zasshi (Jpn. J. Gastroenterol.), 1991, 88, 2714–2718
  • [5] Klimstra S.D., Heffess S.C., Oertel E.J., Rosai J., Acinar cell carcinoma of the panvreas: a clinicopathologic study of 28 cases, Am. J. Surg. Pathol., 1992, 16, 815–837 http://dx.doi.org/10.1097/00000478-199209000-00001[Crossref]
  • [6] Chen C., Chao Y., Li C., Lee R., Tsay S., Chi K., et al., Concurrent chemoradiation is effective in the treatment of alpha-fetoprotein-producing acinar cell carcinoma of the pancreas: report of a case, Pancreas, 2001, 22, 326–329 http://dx.doi.org/10.1097/00006676-200104000-00016[Crossref]
  • [7] Morii K., Okushin H., Yuasa S., Sato S., Nakajima A., Nabeyama A., et al., A case ofalpha-fetoproteinproducing acinar cell carcinoma of the pancreas. Gan-no Rinsho (Jpn. J. Cancer. Clin.), 1998, 44, 915–920
  • [8] Eriguchi N., Aoyagi S., Hara M., Okuda N., Fukuda S., Akashi H., et al., Large acinar cell carcinoma of the pancreas in a patient with elevated serum AFP level, J. Hepatobiliary Pancreat. Surg., 2000, 7, 222–225 http://dx.doi.org/10.1007/s005340050180[Crossref]
  • [9] Ulich T., Cheng L., Lewin K., Acinar-endocrine cell tumor of the pancreas. Report of a pancreatic tumor containing both zymogen an neuroendocrine granules, Cancer, 1982, 50, 2099–2105 http://dx.doi.org/10.1002/1097-0142(19821115)50:10<2099::AID-CNCR2820501021>3.0.CO;2-1[Crossref]
  • [10] Holen K.D., Klimstra D.S., Hummer A., Gonen M., Conlon K., Brennan M., et al., Clinical characteristics and outcomes from an institutional series of acinar cell carcinoma of the pancreas and related tumors, J. Clin. Oncol., 2002, 20, 4673–4678 http://dx.doi.org/10.1200/JCO.2002.02.005[Crossref]
  • [11] Riechelmann R.P., Hoff P.M., Moron R.A., da Camera Lopes L.H., Buzaid A.C., Acinar cell carcinoma of the pancreas, Int. J. Gastrointest. Cancer, 2003, 34, 67–72 http://dx.doi.org/10.1385/IJGC:34:2-3:067[Crossref]
  • [12] Ammori B.J., Laparoscopic hand-assisted pancreaticoduo-denectomy: initial UK experience, Surg. Endosc., 2004, 18, 717–718 http://dx.doi.org/10.1007/s00464-003-4268-z[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0071-5
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