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Year : 2017  |  Volume : 30  |  Issue : 4  |  Page : 1254-1256

Acinar cell carcinoma of pancreas mimicking as pseudocyst – Report of an interesting case

1 Department of Pathology, Sagar Dutta Medical College, Kolkata, India
2 Department of Pathology, Bankura Sammilani Medical College, Bankura, India
3 Department of Pathology, North Bengal Medical College, Darjeeling, West Bengal, India

Correspondence Address:
Adhikari Anindya
Vil-Basudevpur, P.O. Banipur, P.S. Sankrail 711304, Howrah, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_295_17

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Acinar cell carcinoma of the pancreas is a rare and aggressive malignancy, comprising less than 5% of all pancreatic neoplasms. Middle-aged men are commonly affected. In our case, a 35-year-old man presented with epigastric fullness, anorexia, and weight loss for 3 months. Computed tomogram scan of the abdomen revealed a cystic lesion (93 × 83 × 62 mm) over the head of pancreas, suggestive of pancreatic pseudocyst. Serum amylase and lipase levels were 25 710 and 292.50 U/l, respectively. Excision followed by histopathological examination revealed acinar cell carcinoma of pancreas. The patient developed pancreatic fistula postoperatively. Chemotherapy with 5-fluorouracil was initiated. There was no residual tumor. The patient remained disease free for 8 months postoperatively.

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