Curative distal pancreatectomy in patients with acinar cell carcinoma of pancreas diagnosed by endoscopic aspiration via esophago-jejunostomy: A successful case report

Abstract

HighlightsThis is a rare report of acinar cell carcinoma of pancreas diagnosed preoperatively.Accurate histological diagnosis was performed by endoscopic FNA via jejunal loop after gastrectomy.Accurate histological diagnosis is useful in the field of pancreatic surgery, especially in cases of rare or small malignant lesions.

Curative remnant total pancreatectomy for recurrent pancreatic acinar cell carcinoma: A case report

“…In addition, ACC tends to extend and grow along the MPD, and EUS can be useful to evaluate tumour extension [15] . EUS-FNA in combination with an immunobiological study with BCL-10 can increase the rate of accuracy of the preoperative diagnosis of ACC [16] as in the present case. Considering that ACC tends to spread along the MPD, we cannot deny that the recurrence formed near the resected edge in the present case even if that edge was free from cancer cells at the initial surgery performed for ACC in the pancreatic body.…”

Pancreatic theory of relativity...

“…On the other hand, the resection of pancreas is sometimes called "distal pancreatic resection", which means that left part of the gland is removed [1,9]. Another description of pancreatic relations is the following example: "A 3-cm hypovascular mass accompanying a large distal pseudocyst in the pancreatic tail" by Hamada et al [3]. In that paper, the authors refer to the same situation as described by Liu et al [5].…”