A rare carcinoma with a poor prognosis, characterized by the presence of a mixture of exocrine and neuroendocrine malignant epithelial cells in both the pancreas and metastatic sites. Symptoms include jaundice, abdominal pain, and weight loss. The disease is MONDO_0044727 (pancreatic carcinoma with mixed differentiation). Also known as: MiNEN of pancreas, mixed exocrine-endocrine carcinoma of the pancreas, pancreatic MiNEN, pancreatic mixed neuroendocrine-nonneuroendocrine neoplasm.