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Table 1 Literature review of the reported cases diagnosed with mixed acinar-neuroendocrine carcinoma

From: Mixed acinar-neuroendocrine carcinoma of the pancreas with positive for microsatellite instability: a case report and review of the literature

Author

Publication date

Age

Symptom

Sex

Size (cm)

Metastasis

Treatment

Regimen of chemotherapy

Follow-up

Recurrence

Ulich et al

Nov, 1982

30

Epigastric pain

F

9.3 × 8.6 × 5.8

None

PD

 

Alive (4 months)

Ichijima et al

Jan, 1985

6

F

8 × 5 × 4

None

Resection

 

Alive (13 years)

Hassan et al

Sep-Oct, 1993

50

Weight loss, constipation, abdominal pain

M

19 × 18

Liver, multiple

DP + splenectomy + colectomy

 

Deceased (10 months)

 

Klimstra et al

Aug, 1994

81

Nausea, abdominal pain

M

3

None

Resection

 

Alive (3 months)

70

Back pain

M

4 × 10

Liver, lungs, lymph nodes

Resection

 

Deceased (3 months)

 

64

Hematemesis

F

10

None

Bypass (inoperable)

 

Deceased (18 months)

48

F

11

Liver

Resection

 

Alive (12 months)

 

79

Abdominal pain

F

10

None

Bypass chemoradiation

N/A

Alive (12 months)

Cho et al

Apr, 1996

52

Jaundice

F

6 × 6

None

PD + SMV resection

 

Alive (12 months)

Shimoike et al

Dec, 1997

28

-

M

3

Liver, multiple; vertebral bone

TAE, chemotherapy

STZ, 5-FU

Deceased (10 months)

 

Frank et al

Aug, 1998

61

Uncharacteristic abdominal complaints

M

4.9 × 3.6 × 2.8

Liver, later peritoneal carcinomatosis, skin

PD+ left hemihepatectomy + chemotherapy

Octreotide, a-interferon

Deceased (3.5 years)

 

Muramatsu et al

Sep, 2000

72

Appetite loss, weight loss

M

12 × 13

Liver, multiple

N/A

 

Deceased (3 months)

 

Ogawa et al

Jun, 2000

50

-

M

3 × 2.5

None

PD

 

Alive (18 months)

Skacel et al

Sep, 2000

69

N/A

M

10

None

Resection

 

Deceased (20 months)

 + 

75

N/A

M

5.5

None

Resection

 

Alive (10 months)

Mizuno et al

May, 2001

67

-

F

N/A

Liver, multiple; at autopsy: spleen, stomach, left ovary, para-aortic lymph nodes

Chemotherapy

Octreotide, diazoxide, 5-FU, doxorubicin

Deceased (7 years)

 

Ohike et al

(6 cases)

Jul, 2004

Mean 58.4

(49–65)

N/A

M:F (2:4)

8.2 (n = 2)

N/A

N/A

 

N/A

Imaoka et al

Oct, 2008

80

N/A

M

4

None

PD

 

N/A

Kyriazi et al

Apr, 2009

74

-

M

12 × 9 × 6

None

PD

 

Alive (3 months)

Chung et al

Nov, 2010

59

Watery diarrhea

F

8 × 2.5

None

DP + splenectomy

 

N/A

Kobayashi et al

Apr, 2010

75

-

M

7

None

DP

 

Alive (6 months)

Soubra et al

Mar, 2013

52

Epigastric pain, fatigue, jaundice

M

1.5 × 1.2 × 1.0

Liver, soft tissue

PD + chemotherapy

1st: cisplatin, camtothecin

2nd: gemcitabine, cisplatin

Alive (30 months)

 

Lee et al

Feb, 2013

66

Mid-epigastric discomfort

M

3.1 × 2.8

Liver

Chemotherapy

Irinotecan, capecitabine, erlotinib, docetaxel

Deceased (21 months)

 

Sullivan et al

April, 2013

75

Acute pancreatitis

M

0.6

Liver

Chemotherapy

N/A

N/A

 

51

-

M

1.6

None

DP

 

N/A

Kanemasa et al

Sep, 2013

63

Left flank pain

M

6

Liver

Chemotherapy

1st: S-1

2nd: gemcitabine

Deceased (18 months)

 

Ogbonna et al

Nov, 2013

57

Epigastric pain radiating to the back

F

2.5

None

DP + splenectomy + chemoradiation

etoposide,carboplatin

N/A

Yu et al

Apr, 2013

80

Epigastric pain associated with dyspepsia and early satiety

M

14 × 9

Liver, kidney

Chemotherapy, palliative surgery

1st: carboplatin, etoposide

2nd: FOLFOX

Alive (36 months)

 

89

Poor appetite and weight loss

M

3.9 × 3.7

None

PD

 

Deceased (2.5 months)

60

Abdominal pain, diarrhea

M

16 × 13

None

Colectomy, gastrectomy, pancreatectomy, chemotherapy

Cetuximab, irinotecan

Deceased (6 months)

 

74

Epigastric pain, weight loss

M

10 × 5.5

None

Chemoradiation + DP

neoadjuvant: 5-FU

Alive (17 months)

59

Fatigue, poor appetite, intermittent jaundice

M

7.5 × 6.5

None

Whipple

 

Alive (7 months)

Local recurrence and liver

(4 months)

Kumamoto et al

Apr, 2015

42

Back pain

M

3.1 × 8.0 × 2.9

Liver, multiple

DP + hepatectomy

 

Alive (48 months)

4 months

Liu et al

Aug, 2015

65

Jaundice, nagging epigastric pain, intermittent diarrhea

F

8 × 6

Liver, multiple

PD + partial hepatectomy

 

Alive (12 months)

 

Sugimoto et al

Apr, 2017

48

Abdominal pain

M

7.7 × 5.9

None

Chemotherapy + PD

Neoadjuvant: FOLFIRINOX

Alive (21 months)

Takano et al

Oct, 2017

50

Epigastralgia and back pain

M

3

None

DP

 

Alive (1 year)

Hara et al

Dec, 2017

45

Severe anaemia

F

11

Liver, multiple; later, stomach

TACE followed by DP + splenectomy; later gastrectomy

 

Alive (7 years)

 

Strait et al

Nov, 2018

33

Abdominal discomfort, back pain, early satiety, weight loss

M

3.6 × 2.9

Liver, multiple

Chemotherapy + PD

Neoadjuvant: FOLFIRINOX

Alive (10 months)

 

66

Abdominal pain

M

10

None

Chemotherapy

FOLFIRINOX, panitumumab

Alive (4 months)

Tang et al

Jun, 2019

52

Tenderness in the right upper quadrant

M

10.6

Liver, multiple

Chemoradiation

Etoposide, cisplatin

Deceased (5 months)

 

Niiya et al

Oct, 2020

72

Upper abdominal pain

M

2.9

None

DP

 

N/A

Akki et al

Jul, 2021

60 s

Abdominal pain

M

2.2

None

PD

 

Alive (31 months)

liver

60 s

-

M

4

None

DP

 

Alive (6 months)

-

our case

 

65

M

12

None

DP + splenectomy + left adrenal, transverse colon, small bowel resection, partial gastrectomy, chemotherapy

1st: gemcitabine, nab-paclitaxel

2nd: pembrolizumab

Deceased (8 months)

liver, lung, lymph node, peritoneal dissemination (5 months)