Pancreatic panniculitis and elevated serum lipase in metastasized acinar cell carcinoma of the pancreas: A case report and review of literature

Table 1 Four cases of acinar cell carcinoma of the pancreas associated with pancreatic panniculitis and elevated serum lipase values

Ref.	Age	Location	Metastasis	Pancreatic panniculitis	Serum lipase at time of diagnosis	Monitoring of serum lipase during follow-up
Moro et al[28]	79	Head	Liver, metachronous	12 mo after diagnosis	NA	1508 U/L postoperatively, normal, 241 U/L (metastasis)
Miksch et al	72	Head	Liver, synchronous	10 mo after diagnosis	5580 U/L	432 U/L postoperatively after surgeries, 2384 U/L (hepatic recurrence, 9 mo after surgery), 8414 U/L (pancreatic panniculitis), 10949 U/L, 13340 U/L (arthritis, 12 mo), 19940 U/L (end of follow-up)
Heykarts et al[24]	61	Corpus	Liver, synchronous	At diagnosis	NA	Increased, normal, increased (pancreatic panniculitis)
Kuerer et al[27]	61	Tail	None	At diagnosis	17621 U/L	17621 U/L, 29 U/L postoperatively
	54	Head	Liver, synchronous	At diagnosis	710 U/L	710 U/L, decreased postoperatively

Patients’ age, location of primary tumor, metastases, time of presence of pancreatic panniculitis, serum lipase values at time of presence of pancreatic panniculitis, and monitoring the dynamic of serum lipase with preoperative values, if described, are shown. NA: Not available.