Acinar Cell Carcinoma of the Pancreas: A Literature Review and Update

Indian Journal of Surgery - Tập 77 Số 3 - Trang 226-231 - 2015
Chaudhary, Poras1
1Lady Hardinge Medical College, New Delhi, India

Tóm tắt

Pancreatic acinar cell carcinoma is a rare tumour, accounting for only about 1 % of all pancreatic tumours. The long-term survival for patients with acinar cell carcinoma is significantly better than the long-term survival of patients with pancreatic adenocarcinoma. As no large series of patients with acinar cell carcinomas exist, our understanding of this disease comes mainly from small case series and case reports. Aggressive surgical resection with negative margins is associated with long-term survival in these more favourable pancreatic cancers. There are no clear treatment guidelines for patients in whom complete surgical resection with curative intent is not possible. Acinar cell carcinomas are chemoresponsive to agents that have activity against pancreatic adenocarcinomas and colorectal carcinomas because of the shared genetic alterations between these cancers. The role of neoadjuvant or adjuvant chemoradiotherapy remains unproven. The aim of this article is to present current knowledge on acinar cell carcinoma and comprehensive review of available literature.

Tài liệu tham khảo

citation_title=Cell lineage in pancreatic neoplasms; citation_inbook_title=Pancreatic cancer: advances in molecular pathology, diagnosis and clinical management; citation_publication_date=1998; citation_pages=21-47; citation_id=CR1; citation_author=DS Klimstra; citation_publisher=BIOtechniques Books citation_journal_title=J Clin Pathol; citation_title=Acinar cell neoplasms of the exocrine pancreas; citation_author=JN Webb; citation_volume=30; citation_publication_date=1977; citation_pages=103-112; citation_doi=10.1136/jcp.30.2.103; citation_id=CR2 citation_journal_title=Am J Surg Pathol; citation_title=Acinar cell carcinoma of the pancreas. A clinicopathologic study of 28 cases; citation_author=DS Klimstra, CS Heffess, JE Oertel, J Rosai; citation_volume=16; citation_publication_date=1992; citation_pages=815-837; citation_doi=10.1097/00000478-199209000-00001; citation_id=CR3 citation_journal_title=Am J Surg Pathol; citation_title=Tumors of the exocrine pancreas in children and adolescents. A clinical and pathologic study of eight cases; citation_author=EE Lack, JR Cassady, R Levey, GF Vawter; citation_volume=7; citation_publication_date=1983; citation_pages=319-327; citation_doi=10.1097/00000478-198306000-00003; citation_id=CR4 citation_journal_title=J Clin Oncol; citation_title=Clinical characteristics and outcomes from an institutional series of acinar cell carcinoma of the pancreas and related tumors; citation_author=KD Holen, DS Klimstra, A Hummer; citation_volume=20; citation_publication_date=2002; citation_pages=4673-4678; citation_doi=10.1200/JCO.2002.02.005; citation_id=CR5 citation_journal_title=Am J Clin Oncol; citation_title=Functioning pancreatic acinar cell carcinoma: immunohistochemical and ultrastructural analysis; citation_author=H Kuerer, H Shim, D Pertsemlidis, P Unger; citation_volume=20; citation_publication_date=1997; citation_pages=101-107; citation_doi=10.1097/00000421-199702000-00023; citation_id=CR6 citation_journal_title=Gastroenterol Jpn; citation_title=Acinar cell carcinoma of the pancreas with elevated serum alpha-fetoprotein levels: a case report and review of 28 cases reported in Japan; citation_author=T Itoh, K Kishi, M Tojo; citation_volume=27; citation_publication_date=1992; citation_pages=785-791; citation_id=CR7 citation_journal_title=APMIS; citation_title=Acinar cell carcinoma of the pancreas. Report of three cases; citation_author=T Kuopio, TO Ekfors, V Nikkanen, TJ Nevalainen; citation_volume=103; citation_publication_date=1995; citation_pages=69-78; citation_doi=10.1111/j.1699-0463.1995.tb01081.x; citation_id=CR8 citation_journal_title=Acta Cytol; citation_title=Elastase-1-secreting acinar cell carcinomas of the pancreas. A cytologic, electron microscopic and histochemical study; citation_author=A Ishihara, T Sanda, H Takanari; citation_volume=33; citation_publication_date=1989; citation_pages=157-163; citation_id=CR9 citation_journal_title=Virchows Arch; citation_title=Intraductalacinar cell carcinomas of the pancreas; citation_author=A Fabre, A Sauvanet, JF Flejou; citation_volume=438; citation_publication_date=2001; citation_pages=312-315; citation_doi=10.1007/s004280000342; citation_id=CR10 citation_journal_title=Am J Pathol; citation_title=Pancreatic acinar cell carcinoma. An analysis of cell lineage markers, p53 expression, and Ki-ras mutation; citation_author=A Hoorens, NR Lemoine, E McLellan; citation_volume=143; citation_publication_date=1993; citation_pages=685-698; citation_id=CR11 citation_journal_title=Adv Anat Pathol; citation_title=Pancreatic acinar cell carcinoma; citation_author=NG Ordonez; citation_volume=8; citation_publication_date=2001; citation_pages=144-159; citation_doi=10.1097/00125480-200105000-00003; citation_id=CR12 citation_journal_title=Ann NY Acad Sci; citation_title=Molecular pathology of invasive carcinoma; citation_author=DS Longnecker; citation_volume=880; citation_publication_date=1999; citation_pages=74-82; citation_doi=10.1111/j.1749-6632.1999.tb09511.x; citation_id=CR13 citation_journal_title=Mol Cancer; citation_title=Genetic abnormalities in pancreatic cancer; citation_author=PS Moore, S Beghelli, G Zamboni, A Scarpa; citation_volume=2; citation_publication_date=2003; citation_pages=7; citation_doi=10.1186/1476-4598-2-7; citation_id=CR14 citation_journal_title=J Gastrointest Surg; citation_title=Acinar cell carcinoma of the pancreas in the United States: prognostic factors and comparison to ductal adenocarcinoma; citation_author=CM Schimdt, JM Matos, DJ Bentrem; citation_volume=12; citation_publication_date=2008; citation_pages=278-286; citation_id=CR15 citation_journal_title=Korean J Pathol; citation_title=Acinar cell carcinoma of the pancreas: clinical and cytomorphological characteristics; citation_author=DT Adam, HH Ralph, ZA Syed; citation_volume=47; citation_publication_date=2013; citation_pages=93-99; citation_doi=10.4132/KoreanJPathol.2013.47.2.93; citation_id=CR16 citation_journal_title=World J Surg Oncol; citation_title=Curative resection of primarily unresectable acinar cell carcinoma of the pancreas after chemotherapy; citation_author=M Distler, F Ruckert, DD Dittert; citation_volume=7; citation_publication_date=2009; citation_pages=22; citation_doi=10.1186/1477-7819-7-22; citation_id=CR17 citation_journal_title=JOP; citation_title=Long term survival in a patient with acinar cell carcinoma of pancreas. A case report and review of literature; citation_author=M Antoine, M Khitrik-palchuk, MW Saif; citation_volume=8; citation_publication_date=2007; citation_pages=783-789; citation_id=CR18 citation_journal_title=Oncologist; citation_title=Acinar cell carcinoma of the pancreas: new genetic and treatment insights into a rare malignancy; citation_author=MA Lowery, DS Klimstra, J Shia; citation_volume=16; citation_publication_date=2011; citation_pages=1714-1720; citation_doi=10.1634/theoncologist.2011-0231; citation_id=CR19 citation_journal_title=Pancreas; citation_title=Acinar cell carcinoma of the pancreas: clinical analysis of 115 patients from pancreatic cancer registry of Japan pancreas society; citation_author=H Kitagami, S Kondo, S Hirano; citation_volume=35; citation_publication_date=2007; citation_pages=42-46; citation_doi=10.1097/mpa.0b013e31804bfbd3; citation_id=CR20 citation_journal_title=Gastrointest Surg; citation_title=Acinar cell carcinoma of the pancreas: an institutional series of resected patients and review of the current literature; citation_author=AK Seth, P Argani, KA Campbell; citation_volume=12; citation_publication_date=2008; citation_pages=1061-1067; citation_doi=10.1007/s11605-007-0338-1; citation_id=CR21 citation_journal_title=Surgery; citation_title=672 patients with acinar cell carcinoma of the pancreas: a population-based comparison to pancreatic adenocarcinoma; citation_author=NC Wisnoski, CM Townsend, WH Nealon; citation_volume=144; citation_issue=2; citation_publication_date=2008; citation_pages=141-148; citation_doi=10.1016/j.surg.2008.03.006; citation_id=CR22 citation_journal_title=Gastrointest Surg; citation_title=Pancreatic acinar cell carcinoma: a multi-institutional study; citation_author=JM Matos, CM Schmidt, O Turrini; citation_volume=13; citation_issue=8; citation_publication_date=2009; citation_pages=1495-1502; citation_doi=10.1007/s11605-009-0938-z; citation_id=CR23 citation_journal_title=Korean J Gastroenterol; citation_title=Acinar cell carcinoma of the pancreas in Korea—clinicopathologic analysis of 27 patients from Korean literature and 2 cases from our hospital; citation_author=JH Lee, KG Lee, HK Park; citation_volume=55; citation_issue=4; citation_publication_date=2010; citation_pages=245-251; citation_doi=10.4166/kjg.2010.55.4.245; citation_id=CR24 citation_journal_title=Am J Surg; citation_title=Acinar cell carcinoma of the pancreas: is resection justified even in limited metastatic disease?; citation_author=W Hartwig, M Denneberg, F Bergmann; citation_volume=202; citation_issue=1; citation_publication_date=2011; citation_pages=23-27; citation_doi=10.1016/j.amjsurg.2010.06.004; citation_id=CR25 citation_journal_title=Arch Surg; citation_title=Aggressive approach to acinar cell carcinoma of the pancreas: a single-institution experience and a literature review; citation_author=G Butturini, M Pisano, A Scarpa; citation_volume=396; citation_issue=3; citation_publication_date=2011; citation_pages=363-369; citation_doi=10.1007/s00423-010-0706-2; citation_id=CR26