| Literature DB >> 22687839 |
Atsushi Hiraoka1, Hiromasa Nakahara, Hideki Kawasaki, Yuko Shimizu, Satoshi Hidaka, Yusuke Imai, Hiroki Utsunomiya, Haruka Tatsukawa, Nayu Tazuya, Hiroka Yamago, Nobukazu Yorimitsu, Tetsuya Tanihira, Aki Hasebe, Yasunao Miyamoto, Tomoyuki Ninomiya, Masanori Abe, Yoichi Hiasa, Bunzo Matsuura, Morikazu Onji, Kojiro Michitaka.
Abstract
A 25-year-old Japanese woman with a large abdominal tumor (10 cm in diameter) and high level of serum alpha-fetoprotein (AFP, 1,222.4 ng/mL) was introduced and admitted to our hospital in January 2011. Pre-operative imaging modalities could not identify the tumor origin. There was no chronic hepatic viral disease, however, the elevated level of fucosylated AFP (87.8%) and connection with the left hepatic lobe led us to diagnose the tumor as a hepatocellular carcinoma. Surgical resection was performed in February. Histological findings revealed a pancreatic acinar cell carcinoma (ACC). Herein, we provide details of this difficulty to diagnose a case of ACC.Entities:
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Year: 2012 PMID： 22687839 DOI： 10.2169/internalmedicine.51.6536
Source DB: PubMed Journal: Intern Med ISSN： 0918-2918 Impact factor: 1.271