A CASE OF ACINAR-ISLET CELL CARCINOMA-WITH REFERENCE TO THE IMAGING DIAGNOSIS-

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  • 膵併存癌(acinar-islet cell carcinoma)の1例

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Abstract

A 60-year-old man was seen at the hospital because of abdominal pain. Before surgery a most probable diagnosis was tumor in the body of the pancreas. On exploration of the resected material before formalin fixation, it appeared a primary tumor of the pancreas with extensive central necrosis. Histopathologically the patient was diagnosed as having an acinar-islet cell carcinoma.<br> Acinar-islet cell carcinomais a very rare entity. There have been only five cases in the Japanese literature so far as we could review. In this paper six cases including ours are reviewed in terms of the imaging diagnosis. On abdominal ultrasonography these tumors were visualized as well-defined tumor with heterogenous internal echo. On abdominal CT these tumors were characterized by well-defined tumor with low-dencity area. Endoscopic retrograde cholangio-pancreatography showed no charsacteristic findings. With abdominal angiography deep stained tumors were confirmed, but no encasement was seen in them.

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