Primary Pure Pancreatic -Type Acinar Cell Carcinoma of the Stomach: A Rare Entity with a Difficult Diagnosis and Review of the Literature

Acinar cell carcinoma is an uncommon tumour, representing only 1% to 2% of all exocrine pancreatic tumours. Pancreatic-type acinar cell carcinoma can occur in other organs, including the stomach, but it is extraordinarily rare. We report a case of a 51-year-old woman with a pancreatic-type pure acin...

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Veröffentlicht in:International journal of surgical pathology 2022-08, Vol.30 (5), p.528-538
Hauptverfasser: Paseiro-Crespo, Gloria, García-Nebreda, María, Roldán Cortés, David, De la Peña Navarro, Itziar, Álvaro Cifuentes, Edurne, Marqués Medina, Elia, Abad-Motos, Ane
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container_end_page 538
container_issue 5
container_start_page 528
container_title International journal of surgical pathology
container_volume 30
creator Paseiro-Crespo, Gloria
García-Nebreda, María
Roldán Cortés, David
De la Peña Navarro, Itziar
Álvaro Cifuentes, Edurne
Marqués Medina, Elia
Abad-Motos, Ane
description Acinar cell carcinoma is an uncommon tumour, representing only 1% to 2% of all exocrine pancreatic tumours. Pancreatic-type acinar cell carcinoma can occur in other organs, including the stomach, but it is extraordinarily rare. We report a case of a 51-year-old woman with a pancreatic-type pure acinar carcinoma of the stomach coexisting with a large cell B lymphoma synchronously, and a literature review of gastric carcinomas with pancreatic cell differentiation. At present there is a preoperative underdiagnosis of these tumours that could be minimized by including this entity in the differential diagnosis of gastric cancer and by performing immunohistochemical analysis with neuroendocrine markers and exocrine pancreatic enzymes.
doi_str_mv 10.1177/10668969211065763
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subjects Biopsy
Carcinoma, Acinar Cell - diagnosis
Carcinoma, Acinar Cell - pathology
Female
Gastric cancer
Humans
Immunohistochemistry
Middle Aged
Neuroendocrine tumors
Pancreas
Pancreatic Neoplasms
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - pathology
Stomach Neoplasms - diagnosis
Stomach Neoplasms - pathology
title Primary Pure Pancreatic -Type Acinar Cell Carcinoma of the Stomach: A Rare Entity with a Difficult Diagnosis and Review of the Literature
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