A hepatoid carcinoma of the pancreatic head

被引：0
作者：
D. Stamatova
L. Theilmann
C. Spiegelberg
机构：
[1] HELIOS Hospital Pforzheim,Department of Surgery
[2] HELIOS Hospital Pforzheim,Department of Gastroenterology
[3] HELIOS Hospital Pforzheim,Institute of Pathology
[4] HELIOS Hospital Pforzheim,undefined
来源：
Surgical Case Reports | / 2卷 / 1期
关键词：
Pancreas; Neoplasm; Hepatoid; Retroperitoneal; Rare;
D O I：
10.1186/s40792-016-0197-7
中图分类号：
学科分类号：
摘要：
Hepatoid carcinoma (HC) is an extremely rare form of neoplasm. Its cellular structure resembles that of a hepatocellular carcinoma (HCC). To date, only 26 cases of hepatoid carcinoma of the pancreas have been reported in the literature. We report the diagnosis of a hepatoid carcinoma of the pancreatic head in a 78-year-old male patient. The tumor was detected incidentally during routine abdominal ultrasound scanning. Laboratory tests did not show any abnormalities except for a monoclonal gammopathy of undetermined significance. After CT, MRI, and laparoscopic biopsy that failed to obtain the diagnosis, the patient underwent a Whipple procedure. The final pathology report described a hepatoid carcinoma of the pancreatic head (pathological T3, N0 (0/10), L0, V0, R0, M0). After the patient recovered, no further therapy was recommended by the tumor board and he was discharged. Regular follow-up was suggested; however, the patient suddenly died of acute coronary artery disease 2 months after surgery.
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