ABSTRACT
Pancreatic acinar cell carcinoma is one of the rare conditions of the gastrointestinal tract. Here we report Acinar Cell Carcinoma (ACC) in an old man with Hypoglycemia. The patient was a 79-year-old man with history of seizure. In lab data, Blood Sugar was 40 mg/dl and Brain problems were ruled out. For the last 2 to 3 months, he had spells shaky, sweaty, and weak; past medical history (PMH): Low grade Transitional cell carcinoma (TCC) and Diabetes mellitus (DM): negative. The prognosis for patients with mixed acinar–neuroendocrine carcinoma did not differ from that for those with histologically pure pancreatic ACC.