Article Type

Case Report


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.