Solid and Papillary Neoplasm of the Pancreas

In two cases of solid and papillary neoplasm of the pancreas (SPN), positive staining for argyrophil granules, chromogranin-A, neuron-specific enolase, chymotrypsin, α1-antitrypsin, vimentin, cytokeratin, and estrogen receptors was present. Ultrastructurally, neurosecretory as well as zymogenlike gr...

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Veröffentlicht in:Ultrastructural pathology 1992, Vol.16 (6), p.659-666
Hauptverfasser: Jøsrgensen, Lars J., Hansen, Alastair B., Burcharth, Flemming, Philipsen, Else, Horn, Thomas
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container_end_page 666
container_issue 6
container_start_page 659
container_title Ultrastructural pathology
container_volume 16
creator Jøsrgensen, Lars J.
Hansen, Alastair B.
Burcharth, Flemming
Philipsen, Else
Horn, Thomas
description In two cases of solid and papillary neoplasm of the pancreas (SPN), positive staining for argyrophil granules, chromogranin-A, neuron-specific enolase, chymotrypsin, α1-antitrypsin, vimentin, cytokeratin, and estrogen receptors was present. Ultrastructurally, neurosecretory as well as zymogenlike granules were demonstrated. Measurements of mean nuclear volume and volume-corrected mitotic index discriminated between SPN and well-differentiated ductal adenocarcinoma of the pancreas, with notably lower values being seen in SPN. Silver-stained nucleolar organizer region counts showed wide overlaps. The results suggest that SPN is a tumor with mixed endocrine and exocrine features. Its low malignant potential compared to ductal adenocarcinoma is reflected in the mean nuclear volume and volume-corrected mitotic index. The presence of estrogen receptors may prove therapeutically useful.
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Ultrastructurally, neurosecretory as well as zymogenlike granules were demonstrated. Measurements of mean nuclear volume and volume-corrected mitotic index discriminated between SPN and well-differentiated ductal adenocarcinoma of the pancreas, with notably lower values being seen in SPN. Silver-stained nucleolar organizer region counts showed wide overlaps. The results suggest that SPN is a tumor with mixed endocrine and exocrine features. Its low malignant potential compared to ductal adenocarcinoma is reflected in the mean nuclear volume and volume-corrected mitotic index. 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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adolescent
Adult
Chymotrypsin - analysis
DNA-Binding Proteins - analysis
Female
Humans
immunohistochemistry
Microscopy, Electron
morphometry
Pancreatic Neoplasms - chemistry
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - ultrastructure
pancreatic solid papillary neoplasm
Phosphopyruvate Hydratase - analysis
ultrastructure
title Solid and Papillary Neoplasm of the Pancreas
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