An Unusual Pancreatic Tumor!

Case Report

Ann Carcinog. 2019; 4(1): 1019.

An Unusual Pancreatic Tumor!

Damiri A1,2*, Chahdi H1,2, Setti K1,2, Oukabli M1,2 and Bouzidi AL1,2

¹Department of Pathology, Military Hospital Mohammed V Rabat, Morocco

²Faculty of Medicine and Pharmacy of Rabat (FMPR), Mohamed V Rabat, Morocco

*Corresponding author: Damiri A, Department of Pathology, Military Hospital Mohammed V Rabat, Morocco

Received: October 09, 2019; Accepted: November 09, 2019; Published: November 16, 2019


Adenosquamous Carcinoma of the Pancreas (ASCP) is a serious and a rare entity. Like adenocarcinoma of the pancreas, overall survival is poor.

We report a case of a 49-years-old woman, hospitalized for the management of a tumor in the tail of the pancreas. The histological study concluded to adenosquamous carcinoma.

The treatment of this type of tumor is similar to that of acinar adenocarcinoma. Despite the therapeutic progress the prognosis remains dark.

Keywords: Pancreas; Adenosquamous; Carcinoma; Histology


Pancreatic cancer is a serious and deadly disease. In 2014, more than 46420 new cases were diagnosed with 39590 deaths, making it the fourth leading cause of cancer deaths in the United States [1]. The most diagnosed histological type is adenocarcinoma [2]. ASCP is a rare entity; its frequency is between 0.38% and 10% of all pancreatic exocrine tumors [2-3]. This tumour was first described in 1907 by Gotthold Herheimer, who called it a carcinoid tumor [4]. Compared to pancreatic adenocarcinoma, overall survival is low at 5 years [5].

Case presentation

A 49 -year-old woman who presented for cholestatic jaundice with symptoms of pruritus, intermittent epigastralgia with discolored stools and dark urine.

ACE and CA 19-9 levels are elevated with anemia and positive cholestasis blood test.

An abdominal MRI was performed revealed a cystic lesion of tail the pancreas measuring 4cm with transverse colon invasion and the stomach (Figure 1A). Abdominal CT showing the presence of multiple hepatic lesions (Figure 1B).