Pancreas Question 36

1. A 55-year-old man undergoes a distal pancreatectomy for a 7 cm mass in the tail of the pancreas. The tumor shows a combination of solid nests and cords, with a few areas with lumens. Immunohistochemical staining reveals expression of both trypsin and chromogranin A in more than 30 percent of the cells. What is the most likely diagnosis?
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E.