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Table 1 Review of successful resection of pACC with distant metastases

From: A resected case of acinar cell carcinoma of the pancreas with liver metastasis following chemotherapy using modified FOLFIRINOX

Report

Synchronous or metachronous metastases

The site of metastases

Primary surgery for metastatic tumor

Preoperative chemotherapy

Clinical course

Reported survival

Butturini et al. [4]

Synchronous

Liver metastasis

Liver metastasis excision

Unspecified

Recurrence and death with primary disease

31 months (dead)

Butturini et al. [4]

Metachronous

Liver metastasis

Liver metastasis excision

gemcitabine

No recurrence

85 months

Armstrong et al. [11]

Synchronous

Solitary liver metastasis

RFA

No

Recurrence at liver treated with RFA and systemic chemotherapy (capecitabine, imatinib, etoposide, and doxorubicin), and at mesenteric lesions with systemic chemotherapy (sorafenib and temozolomide)

96 months (dead)

Cananzi et al. [12]

Synchronous

Five liver metastases

Right hemi-hepatectomy

Docetaxel, irinotecan and cetuximab

Recurrence at liver, para-aortic lymph node, peritoneal and retroperitoneal tissue, adrenal gland, and brain. Liver metastases were treated with surgery and RFA. The other metastases were all resected

Newly detected liver metastases were treated with chemotherapy (nab-paclitaxel and panitumumab)

132 months

Di marco et al. [13]

Metachronous

Three liver metastases

RFA

Gemcitabine plus capecitabine

No recurrence

68 months

Di marco et al. [13]

Metachronous

Two liver metastases

RFA

Gemcitabine plus capecitabine

Recurrence at peritoneal tissue treated with systemic chemotherapy (capecitabine plus irinotecan, gemcitabine plus capecitabine)

86 months (dead)

Hashimoto et al. [14]

Synchronous

Two liver metastases

Left hemi-hepatectomy and partial resection

No

Recurrence at liver (partial liver resection and hepatic arterial infusion with 5-FU, cisplatin, and mitomycin C)

63 months

Jauch et al. [15]

Synchronous

Solitary liver metastasis

Right hemi-hepatectomy

Capecitabine plus oxaliplatin

Recurrence at liver (complete eradication by chemotherapy)

42 months

Maehira et al. [16]

Metachronous

Multiple liver metastases, local recurrence

The removal of multiple liver metastases and local recurrence in the pancreatic bed

Cisplatin plus irinotecan

No recurrence

57 months

Ohara et al. [17]

Metachronous

Solitary liver metastasis, rectum

Right posterior sectorectomy and abdominoperitoneal resection

No

No recurrence

40 months

Sumiyoshi et al. [18]

Synchronous

Peritoneal dissemination

Resection of disseminated nodule

No

No recurrence

73 months

Suzuki et al. [19]

Metachronous

Four liver metastases

Extended left hemi-hepatectomy and partial resection

No

Recurrence at liver (partial liver resection for solitary metastasis)

65 month