Papillary cystic and solid tumors of the pancreas: A pancreatic embryonic tumor? Studies of three cases and cumulative review of the world's literature

作者: Chuanyan Mao , Mustafa Guvendi , Don R. Domenico , Kitai Kim , Neil R. Thomford

DOI: 10.1016/S0039-6060(05)80271-5

关键词: PathogenesisPathologyCystCapsulePancreasSolid pseudopapillary tumourPancreatic diseaseImmunohistochemistryHemoperitoneumMedicine

摘要: Background. The papillary cystic and solid tumor of the pancreas is rare. It occurs predominantly in young women, most present a benign behavior. pathogenesis this has attracted number investigations but remains unclear. Methods. We three patients with review 289 others from world's literature, total 292 cases. On basis analyses clinical pathologic features reported cases, unusual been further explored. Results. Ninety percent were female, mean age 23.9 years. tumors usually quite large diameter 10.3 cm. Ninety-two these totally or partially cystic. Rupture capsule resulted hemoperitoneum eight five which without any identifiable cause. Forty-three (14.7%) have recognized as malignant. overall prognosis excellent an aggressive approach to resection indicated. Conclusions. results immunohistochemical staining electromicroscopy rather diverse, most, including current support hypothesis that originates pleuripotential embryonic stem cells. Thus term pancreatic seems preferable delineate origin reflect some its biologic characteristics.

参考文章(90)
Takashi Kanematsu, Tsutomu Tomioka, Takao Yamamoto, Koichi Motojima, Keiji Inoue, Tsukasa Tsunoda, Solid and cystic tumor of the pancreas occurring without cyst formation in an adult male. International Journal of Pancreatology. ,vol. 14, pp. 195- 200 ,(1993) , 10.1007/BF02786127
K. Nishihara, M. Tsuneyoshi, A. Ohshima, K. Yamaguchi, Papillary Cystic Tumor of the Pancreas: Is it a Hormone-dependent Neoplasm? Pathology Research and Practice. ,vol. 189, pp. 521- 526 ,(1993) , 10.1016/S0344-0338(11)80359-6
Yukihiko Matsuda, Yasuharu Imai, Sumio Kawata, Masahiro Nishikawa, Shio Miyoshi, Ryuzo Saito, Yuzo Minami, Seiichiro Tarui, Papillary-cystic neoplasm of the pancreas with multiple hepatic metastases: A case report Gastroenterologia Japonica. ,vol. 22, pp. 379- 384 ,(1987) , 10.1007/BF02774265
Antonio L. Cubilla, Patrick J. Fitzgerald, Tumors of the Exocrine Pancreas ,(1984)
Guido Pettinato, J. Carlos Manivel, Carlo Ravetto, Luigi M. Terracciano, Edwin W. Gould, Antonino Di Tuoro, Waclaw Jaszcz, Jorge Albores-Saavedra, Papillary cystic tumor of the pancreas. A clinicopathologic study of 20 cases with cytologic, immunohistochemical, ultrastructural, and flow cytometric observations, and a review of the literature. American Journal of Clinical Pathology. ,vol. 98, pp. 478- 488 ,(1992) , 10.1093/AJCP/98.5.478
Yoshihiro Nozawa, Masafumi Abe, Hideo Sakuma, Masamitu Ogata, Jinichi Haga, Hiroshi Sakuma, Haruki Wakasa, A Case of Pancreatic Oncocytic Tumor Pathology International. ,vol. 40, pp. 367- 370 ,(1990) , 10.1111/J.1440-1827.1990.TB01574.X
H.C. Ward, J. Leake, L. Spitz, Papillary cystic cancer of the pancreas: diagnostic difficulties. Journal of Pediatric Surgery. ,vol. 28, pp. 89- 91 ,(1993) , 10.1016/S0022-3468(05)80363-X
Markku Miettinen, Seppo Partamen, Olavi Fraki, Eero Kivilaakso, Papillary cystic tumor of the pancreas: an analysis of cellular differentiation by electron microscopy and immunohistochemistry The American Journal of Surgical Pathology. ,vol. 11, pp. 855- 865 ,(1987) , 10.1097/00000478-198711000-00004
Yukihiro Inomata, Takashi Nishizawa, Hidenari Takasan, Takahiro Hayakawa, Koichi Tanaka, Pancreatoblastoma resected by delayed primary operation after effective chemotherapy. Journal of Pediatric Surgery. ,vol. 27, pp. 1570- 1572 ,(1992) , 10.1016/0022-3468(92)90511-5
Y. Hata, F. Sasaki, S. Alam, Y. Koike, T. Namieno, T. Igarashi, J. Uchino, T. Nojima, Solid and cystic tumor of the pancreas in a child Pediatric Surgery International. ,vol. 4, pp. 303- 305 ,(1989) , 10.1007/BF00183393