Solid pseudopapillary neoplasm, pancreas type, presenting as a primary ovarian neoplasm

Summary Solid pseudopapillary neoplasm has historically been associated with the pancreas, categorized as a tumor of low malignancy. Recently, solid pseudopapillary neoplasm was reported to arise as a primary ovarian tumor in 3 women. We report a fourth case identified in a 48 year-old woman with an...

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Veröffentlicht in:Human pathology 2012-08, Vol.43 (8), p.1339-1343
Hauptverfasser: Stoll, Lisa M., MD, MPH, Parvataneni, Ram, MD, MPH, Johnson, Michael W., MD, PhD, Gui, Dorina, MD, PhD, Dorigo, Oliver, MD, PhD, Sullivan, Peggy, MD
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container_end_page 1343
container_issue 8
container_start_page 1339
container_title Human pathology
container_volume 43
creator Stoll, Lisa M., MD, MPH
Parvataneni, Ram, MD, MPH
Johnson, Michael W., MD, PhD
Gui, Dorina, MD, PhD
Dorigo, Oliver, MD, PhD
Sullivan, Peggy, MD
description Summary Solid pseudopapillary neoplasm has historically been associated with the pancreas, categorized as a tumor of low malignancy. Recently, solid pseudopapillary neoplasm was reported to arise as a primary ovarian tumor in 3 women. We report a fourth case identified in a 48 year-old woman with an 8-cm left ovarian mass. A left salpingo-oophorectomy was performed. Microscopic examination demonstrated a predominately cystic neoplasm comprised of solid nests of cells with an epithelioid to plasmacytoid appearance, associated with blood vessels, hemorrhage, and degenerative changes, that is, pseudopapillary structures. The tumor cells stained focally for pancytokeratin, progesterone receptor, and CD57 with diffuse nuclear expression of β -catenin. Ki-67 was 5% to 10%. Synaptophysin, inhibin, and E-cadherin stains were negative. Clinical and radiologic follow-up of our patient demonstrated no pancreatic lesions. This is a rare report of a primary ovarian solid pseudopapillary neoplasm. Prolonged follow-up is needed to determine how this case will fare clinically.
doi_str_mv 10.1016/j.humpath.2011.12.018
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Recently, solid pseudopapillary neoplasm was reported to arise as a primary ovarian tumor in 3 women. We report a fourth case identified in a 48 year-old woman with an 8-cm left ovarian mass. A left salpingo-oophorectomy was performed. Microscopic examination demonstrated a predominately cystic neoplasm comprised of solid nests of cells with an epithelioid to plasmacytoid appearance, associated with blood vessels, hemorrhage, and degenerative changes, that is, pseudopapillary structures. The tumor cells stained focally for pancytokeratin, progesterone receptor, and CD57 with diffuse nuclear expression of β -catenin. Ki-67 was 5% to 10%. Synaptophysin, inhibin, and E-cadherin stains were negative. Clinical and radiologic follow-up of our patient demonstrated no pancreatic lesions. This is a rare report of a primary ovarian solid pseudopapillary neoplasm. 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Solid tumors. Tumors in childhood (general aspects)</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Ovariectomy</topic><topic>Ovary</topic><topic>Pancreas</topic><topic>Pancreas - pathology</topic><topic>Pathology</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Biological and medical sciences
Cancer
Cystectomy
Family medical history
Female
Humans
Hypothyroidism
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Ovariectomy
Ovary
Pancreas
Pancreas - pathology
Pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Solid pseudopapillary tumor
Tumors
Women
title Solid pseudopapillary neoplasm, pancreas type, presenting as a primary ovarian neoplasm
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