[A case of a synchronous double cancer patient with pancreatic cancer, found during a full body examination and triggered by acinar cell carcinoma of the upper lip].

Acinar cell carcinoma is a tumor characterized by the proliferation of cells that resemble serous acinar cells. It accounts for 1% of all salivary gland tumors, with 90% or more of these tumors frequently occurring in the parotid gland and rarely occurring in the small salivary glands. This time, we experienced a patient suffering from synchronous double cancer, found during a full body examination and triggered by acinar cell carcinoma of the upper lip. The case involved a 76-year-old woman, with a chief complaint of swelling of her right upper lip. She became aware of the swelling of her right upper lip in May 2017, and due to a gradual increase in the size thereof, she visited our department in December. Eight days after her initial consultation, a total biopsy was performed under local anesthesia, upon which the patient was diagnosed with acinar cell carcinoma. In January 2018, we asked our otolaryngologist to conduct a close examination of the parotid gland. Although computed tomography indicated no problems with the parotid gland, pancreatic head cancer was suspected. She visited the Department of Gastroenterology at our hospital in February and was diagnosed with pancreatic cancer (stage IVb) by an endoscopic biopsy in March. Chemotherapy was initiated the same month, but she died in January 2020.