Total pancreatectomy for metachronous mixed acinar-ductal carcinoma in a remnant pancreas

Table 1 The 18 previously reported cases of mixed-acinar ductal carcinoma in the English and Japanese literatures

Case	Age	Sex	Symptoms at presentation	Size	Location	Treatment	Follow-up	Prognosis	Reference
1	74	M	Painless jaundice	31	Head	RTx, CTx	20	Alive	[3]
2	75	M	Weight loss and diarrhea	25	Head	RTx, CTx	39	Dead	[3]
3	73	M	Not available	20	Tail	RTx, CTx	52	Dead	[3]
4	74	M	Weight loss and diarrhea	40	Head	RTx, CTx	51	Dead	[3]
5	70	M	Pain	40	Head	RTx, Rdx	38	Dead	[3]
6	77	F	Weight loss	30	Head	Rdx	9	Dead	[3]
7	77	M	Weight loss and pain	37	Head	RTx	0.5	Dead1	[3]
8	52	M	Pain	55	Head	RTx, CTx	12	Dead	[3]
9	76	M	Painless jaundice	35	Head	RTx, CTx	8	Dead	[3]
10	79	M	Painless jaundice	34	Head	RTx, CTx	11	Alive	[3]
11	69	M	Painless jaundice	54	Head	RTx, CTx	36	Alive	[3]
12	71	M	Not mentioned	30	Head	-	12	Dead	[10]
13	51	F	Not mentioned	-	Tail	-	3	Dead	[10]
14	51	F	Not mentioned	30	Tail	-	4	Dead	[10]
15	85	M	Not mentioned	-	Tail	-	6	Dead	[10]
16 (J)	63	M	Abdominal pain	65	Head	RTx	39	Alive	[11]
17 (J)	63	M	Worsening of diabetes	35	Head	RTx	8	Dead	[12]
18	71	F	Epigastric discomfort	72	Tail	RTx	36	Alive2
				35	Head	RTx

¹Deceased due to a post operative complication;

²Recurrence in the remnant pancreas 18 mo after the first operation. J: Japanese article; M: Male; F: Female; RTx: Resection; Rdx: Radiation; CTx: Chemotherapy; -: Not mentioned.