FOLFIRINOX as First-Line Treatment for Unresectable Acinar Cell Carcinoma of the Pancreas: A Case Report

  • U. Schempf
    Department of Internal Medicine I, Medical University Hospital, Tuebingen, Germany
  • B. Sipos
    Institute of Pathology, University of Tuebingen, Tuebingen, Germany
  • C. König
    Department for Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany
  • N. Malek
    Department of Internal Medicine I, Medical University Hospital, Tuebingen, Germany
  • M. Bitzer
    Department of Internal Medicine I, Medical University Hospital, Tuebingen, Germany
  • R. Plentz
    Department of Internal Medicine I, Medical University Hospital, Tuebingen, Germany

書誌事項

公開日
2014-02-13
DOI
  • 10.1055/s-0033-1356439
公開者
Georg Thieme Verlag KG

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説明

Pancreatic acinar cell carcinoma (ACC) is a rare, aggressive variant of pancreatic ductal adenocarcinoma. Surgery is the only curative treatment option and protocols for palliative chemotherapies in this context are not standardized yet. We reported a 63-year-old white male patient who had painless jaundice, weight loss, elevated bilirubin, and a mass of the pancreatic head as well as liver metastasis. Core biopsy revealed the diagnosis of ACC. Therapy with FOLFIRINOX resulted in a significant decrease of the primary tumor and regressiveness of a liver metastasis after chemotherapy. Our report suggests that pancreatic ACC treated by FOLFIRINOX is well tolerated and might be superior to other single chemotherapies in this rare tumor disease.

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