|本期目录/Table of Contents|

[1]刘英娜,冷冬妮,闵 慧.胰腺实性假乳头状瘤临床病理分析[J].医学研究与战创伤救治(原医学研究生学报),2009,11(02):127-130.
 LIU Ying-na,LENG Dong-ni,MIN Hui.Clinicopathological analysis of solid-pseudopapillary tumors of the pancreas[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(02):127-130.
点击复制

胰腺实性假乳头状瘤临床病理分析()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年02期
页码:
127-130
栏目:
出版日期:
2009-03-20

文章信息/Info

Title:
Clinicopathological analysis of solid-pseudopapillary tumors of the pancreas
文章编号:
1672-271X(2009)02-0127-04
作者:
刘英娜冷冬妮闵 慧
解放军第454医院病理科,江苏南京 210002
Author(s):
LIU Ying-na LENG Dong-ni MIN Hui
Department of Pathology, the 454th Hospital of PLA, Nanjing 210002, Jiangsu,China
关键词:
胰腺实性假乳头状瘤临床病理鉴别诊断
Keywords:
Solid-pseudopapillary tumors of the pancreasClinicopathologyDifferential diagnosis
分类号:
R735.9
DOI:
-
文献标志码:
A
摘要:
目的 研究胰腺实性假乳头状瘤(SPT)病理诊断和鉴别诊断。方法 采用HE和免疫组化(EnVision法)观察13例胰腺实性假乳头状瘤。结果 13例患者中11例为女性,2例为男性,年龄12~65岁,平均32岁,随访8例,手术后均无复发。肿瘤平均直径约7 cm,有包膜。组织学上肿瘤呈实性或假乳头两种排列方式。免疫组化:β-catenin核阳性10例,α1-AT阳性13例,Vimentin阳性13例,CD10阳性10例,PR阳性9例,CKpan阳性2例,Syn阳性1例,CgA阳性1例。结论 SPT是一种较少见的胰腺低度恶性肿瘤,须与胰腺其他多种肿瘤进行鉴别诊断。
Abstract:
Objective To study the pathological diagnosis and differential diagnosis of solid-pseudopapillary tumors of the pancreas (SPT).Methods 13 cases of SPT were investigated with HE staining and EnVision immunostaining.Results 7 patients were young females and 2 were adult males, 12 to 65 years in age (mean 32 years). Eight patients were followed up and none recurred after tumor resection. The tumors were mean diameter 7 cm in size, all encapsulated. Histologically, all cases showed presence of solid sheets or pseudopapillary structure. Immunohistochemically, the tumors were positive for β-catenin (nuclear) (10/13), α1-AT (13/13), Vimentin (13/13), CD10 (10/13), PR (9/13), CKpan (2/13), Syn (1/13) and CgA (1/13).Conclusin The SPT is a rare low-grade malignant tumor of the pancreas.It is important to differentiate SPT from many other tumors of the pancreas.

参考文献/References:

[1]Frantz VK.Tumor of the pancreas.Anonymous Atlas of Tumor Pathology[M].Washington DC:Armed Forces Institute of Pathology,1959:32-33.
[2]Klimtra DS.Wenig BM,Heffess CS.Solid-pseudopapillary tumor of the pancreas:a typically cystic carcinoma of low malignant potential[J].Semin Diagn Pathol,2002,17 (1): 66-80.
[3] Abraham SC,Klimstra DS,Wilentz RE,et al.Solid-pseudopa- pillary tumors of the pancreas are genetically distinct from pancreatic ductal adenocarcinomas and almost always harbor beta-catenin mutations[J].Am J Pathol,2002,160(4):1361-1369.
[4]Thambugala GM, Pereira J, Sugo E, et al.Solid and cystic papillary epithelial neoplasm of the pancreas in an 11-year-old girl:imaging features with pathological correlation[J].Australas Radiol,2006,50(4):373-376.
[5]Al-Aynati MM,Radulovich N, Riddell RH,et al.Epithelial-cadherin and beta-catenin expression changes in pancreatic intraepithelial neoplasia[J].Clin Cancer Res,2004,10 (4):1235-1240.
[6]Miao J,Kusafuka T,Kuroda S,et al.Mutation of betacatenin and its protein accumulation in solid and cystic tumor of the pancreas associated with metastasis[J].Int J Mol med, 2003,11(4):461-464.
[7]Nakagohri T,Kinoshita T,Konishi M,et al.Surgical outcome of solid pseudopapillary tumor of the pancreas[J].J Hepatobiliary Pancreat Surg,2008,15(3):318-321.
[8]Martin RC,Klimstra DS,Brennan MF,et al.Solid-pseudopap- illary tumor of the pancreas: a surgical enigma[J].Ann Surg Oncol, 2002,9(1):35-40.
[9]Donatella S,Francesca P,Stefania L.Solid-papillary tumors of the pancreas:histopathology [J].J Pancreas,2006,7(1):131-136.
[10]Chen C,Wen J.Melanocytic differentiation in a solid pseudo- papillary tumor of the pancreas[J].J Gastroenterol,2004,39(6):579-583.

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2013-11-20