Comparative cytologic features of pancreatic acinar cell carcinoma and islet cell tumor

作者: Ann Marie Labate , David L. Klimstra , Maureen F. Zakowski

DOI: 10.1002/(SICI)1097-0339(199702)16:2<112::AID-DC3>3.0.CO;2-J

关键词: IsletBasophilicPancreasPancreatic diseasePancreatic Acinar Cell CarcinomaPathologyFine-needle aspirationBiologyCytopathologyChromogranin A

摘要: Acinar cell carcinoma (ACC) and islet tumor (ICT), both rare pancreatic neoplasms, can be diagnosed accurately rapidly with the use of imaging-guided fine-needle aspiration biopsies. The specific cytologic features these tumors are described in a series 17 patients, histologic immunocytochemical correlations discussed. Important findings ACC loosely cohesive clusters cells having uniform nuclei prominent nucleoli, cytoplasm is finely granular eosinophilic. Islet show many single cells, occasional rosettes, nuclei, sometimes binucleate, dense basophilic cytoplasm. Chromogranin often positive (80%) ICT. Trypsin chymotrypsin were (71%) ACC. Histology was confirmatory all cytology cases. recognition conjunction studies increase diagnostic sensitivity for two tumors.

参考文章(24)
V E Gould, K L Myrent, B F Banner, V A Memoli, Neuroendocrine carcinoma of the pancreas diagnosed by aspiration cytology. A case report. Acta Cytologica. ,vol. 29, pp. 442- 448 ,(1985)
Ann E. Walts, Jonathan W. Said, I. Peter Shintaku, Ricardo V. Lloyd, Chromogranin as a marker of neuroendocrine cells in cytologic material--an immunocytochemical study. American Journal of Clinical Pathology. ,vol. 84, pp. 273- 277 ,(1985) , 10.1093/AJCP/84.3.273
T Morohoshi, J Rüschoff, NR Lemoine, B Stamm, B Wiedenmann, G Klöppel, PU Heitz, E McLellan, T Kamisawa, Anne Hoorens, Pancreatic acinar cell carcinoma. An analysis of cell lineage markers, p53 expression, and Ki-ras mutation. American Journal of Pathology. ,vol. 143, pp. 685- 698 ,(1993)
Leopold G. Koss, Stanisław Woyke, Włodzimierz Olszewski, Aspiration Biopsy: Cytologic Interpretation and Histologic Bases ,(1992)
Akitaka Nonomura, Naoko Kono, Yuji Mizukami, Vasuni Nakanuma, Fujitsugu Matsubara, Duct-Acinar-Islet Cell Tumor of the Pancreas Ultrastructural Pathology. ,vol. 16, pp. 317- 329 ,(1992) , 10.3109/01913129209061361
David S. Klimstra, Juan Rosai, Clara S. Heffess, Mixed acinar-endocrine carcinomas of the pancreas. The American Journal of Surgical Pathology. ,vol. 18, pp. 765- 778 ,(1994) , 10.1097/00000478-199408000-00002
Philipp U. Heitz, Marlis Kasper, Julia M. Polak, Günter Klöppel, Pancreatic endocrine tumors: Immunocytochemical analysis of 125 tumors Human Pathology. ,vol. 13, pp. 263- 271 ,(1982) , 10.1016/S0046-8177(82)80183-4
Tong-Hua Liu, Hsien-Chiu Tseng, Yu Zhu, Shou-Xian Zhong, Jie Chen, Quan-Cai Cui, Insulinoma. An immunocytochemical and morphologic analysis of 95 cases Cancer. ,vol. 56, pp. 1420- 1429 ,(1985) , 10.1002/1097-0142(19850915)56:6<1420::AID-CNCR2820560633>3.0.CO;2-Y
N. G. RYLEY, C. F. BAIGRIE, I. D. BULEY, Papillary and solid neoplasm of the pancreas: fine needle aspiration cytology Cytopathology. ,vol. 5, pp. 310- 315 ,(1994) , 10.1111/J.1365-2303.1994.TB00436.X
David S. Klimstra, Clara S. Heffess, James E. Oertel, Juan Rosai, Acinar cell carcinoma of the pancreas. A clinicopathologic study of 28 cases. The American Journal of Surgical Pathology. ,vol. 16, pp. 815- 837 ,(1992) , 10.1097/00000478-199209000-00001