40 Acinar Cell Carcinoma of the Pancreas

CASE 40


Clinical Presentation


An 81-year-old man presents with a history of bloating and epigastric pain.




image

Fig. 40.1 (A–C) Axial contrast-enhanced images in the pancreatic phase of CT shows a large enhancing lesion in the head of the pancreas (arrow). There was no intrahepatic ductal dilatation. The portal vein and the superior mesenteric artery were patent and not involved.


Radiologic Findings


Axial contrast-enhanced images in the pancreatic phase of computed tomography (CT) show a large enhancing lesion in the head of the pancreas (Fig. 40.1). There was no intrahepatic ductal dilatation. The portal vein and the superior mesenteric artery were patent and not involved.


Diagnosis


Acinar cell carcinoma of the pancreas


Differential Diagnosis



  • Neuroendocrine tumor of the pancreas
  • Pancreatic lymphoma
  • Pancreatoblastoma
  • Ductal adenocarcinoma
  • Metastases

Discussion


Background

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Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 40 Acinar Cell Carcinoma of the Pancreas

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