Summary
In this study, our experience with five cases of mucinous cystadenocarcinoma of the pancreas is described, which was seen over a 13-yr period. The diagnosis in four of the cases was made from aspirated material that was obtained under computed tomography (CT) guidance and, in one case, following an intraoperative aspirate. In four cases, the tumor was found to be in the head of pancreas, whereas in one case, the neoplasm was located in the tail. All the cases were elderly male patients. As a result of our study, it is believed that aspiration cytodiagnosis of mucinous cystadenocarcinoma (a rare subtype of pancreatic carcinoma) can be made with confidence when performed intraoperatively or with imaging assistance. Also, aspiration cytology is a sensitive, specific, and relatively simple procedure that provides adequate material on which a confident diagnostic interpretation can be made of this uncommon neoplasm.
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References
Mitchell ML, Carney CM. Cytologic criteria for the diagnosis of pancreatic carcinoma.Am J Clin Pathol 1985; 83: 171–176.
An-Foraker SH, Fong-Mui KK. Cytodiagnosis of lesions of the pancreas and related areas.Acta Cytol 1982; 26: 814–818.
Becker WF, Welsh RA, Pratt HS. Cystadenoma and Cystadenocarcinoma of pancreas.Ann Surg 1965; 161: 845–860.
Kini SR. Aspiration biopsy cytology of unusual lesions of the pancreas. Am Soc Clin Pathoi Check Sample Exc No 4 1984; 1-5.
Diagnostic Cytology by Membrane Filter. Application bulletin 100R. Gelman Sciences, Ann Arbor, MI, 1984; 11-16.
Chen J, Baithun SI. Morphological study of 391 cases of exocrine pancreatic tumours with special reference to the classification of exocrine pancreatic carcinoma.J Pathol 1985; 146: 17–29.
Compagno J, Oertel JE. Microcystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma). A clinicopathologic study of 41 cases.Am J Clin Pathol 1978; 69: 573–580.
Emmert G, Bewtra C. Fine needle aspiration biopsy of mucinous cystic neoplasm of the pancreas. A case study.Diagn Cytopathol 1986; 2: 69–71.
Vellet D, Leiman G, Mair S, Bilchik A. Fine needle aspiration cytology of mucinous cystadenocarcinoma of pancreas. Further observations.Acta Cytol 1988; 32: 43–48.
Foote AF, Simpson JS, Stewart RJ, Wakefield SJ, Buchanan AJ, Gupta RK. Diagnosis of the rare solid and papillary epithelial neoplasm of the pancreas by fine needle aspiration cytology. Light and electron microscopic study of a case.Acta Cytol 1986; 30: 519–522.
Kline TS, Abramson J, Goldstein F, Neal HS. Needle aspiration biopsy of pancreas at laparotomy.Am J Gastroenterol 1977; 68: 30–33.
Leiman G, Markowitz S, Svensson LG. Intraoperative cytodiagnosis of pancreatic adenosquamous carcinoma. A case report.Diagn Cytopathol 1986; 2: 72–75.
Walts AE. Osteoclast-type giant cell tumour of pancreas.Ada Cytol 1983; 27: 500–504.
Laucirica R, Schwartz MR, Ramzy I. Fine needle aspiration of pancreatic cystic neoplasms.Acta Cytol 1992; 36: 881–886.
Moossa AR. Pancreatic cancer. Approach to diagnosis, selection for surgery and choice of operation.Cancer 1982; 50: 2688–2699.
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Gupta, R.K., AlAnsari, A.G. Needle aspiration cytology in the diagnosis of mucinous cystadenocarcinoma of pancreas. Int J Pancreatol 15, 149–153 (1994). https://doi.org/10.1007/BF02924666
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DOI: https://doi.org/10.1007/BF02924666