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Undifferenzierte Pankreaskarzinome

Der Sprung ins Chaos

Undifferentiated pancreatic carcinomas

Leap into chaos

  • Schwerpunkt: Pankreaspathologie
  • Published:
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Zusammenfassung

Die undifferenzierten Karzinome des Pankreas sind selten. Sie sind anaplastische Varianten des duktalen Adenokarzinoms des Pankreas. Differenzialdiagnostisch müssen sie von Metastasen eines malignen Melanoms oder einer Sarkominfiltration immunhistochemisch abgegrenzt werden. Das undifferenzierte Pankreaskarzinom mit osteoklastären Riesenzellen ist eine besondere Variante, die auch in Assoziation mit muzinös-zystischen Neoplasien auftreten kann und durch zahlreiche nichtneoplastische osteoklastäre Riesenzellen gekennzeichnet ist.

Abstract

Undifferentiated pancreatic carcinomas are rare anaplastic variants of ductal adenocarcinoma of the pancreas. They have to be distinguished immunohistochemically from metastases of malignant melanoma or an infiltrating sarcoma. An uncommon variant is undifferentiated pancreatic carcinoma with osteoclast-like giant cells. This variant can be associated with mucinous cystic neoplasms and is characterized by abundant non-neoplastic osteoclast-like giant cells.

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Literatur

  1. Cubilla AL, Fitzgerald PJ (1984) Tumors of the exocrine pancreas. AFIP Atlas of tumor pathology, 2nd series, fascicle 19. Armed Forces Institute of Pathology, Washington/DC

  2. Dworak O, Wittekind C, Koerfgen HP, Gall FP (1993) Osteoclastic giant cell tumor of the pancreas. An immunohistological study and review of the literature. Pathol Res Pract 189: 228–231

    CAS  PubMed  Google Scholar 

  3. Hoorens A, Prenzel K, Lemoine NR, Klöppel G (1998) Undifferentiated carcinoma of the pancreas: analysis of intermediate filament profile and Ki-ras mutations provides evidence of a ductal origin. J Pathol 185: 53–60

    Article  CAS  PubMed  Google Scholar 

  4. Klöppel G, Hruban RH, Longnecker DS, Adler G, Kern SE, Partanen TJ (2000) Ductal adenocarcinoma of the pancreas. In: Hamilton SR, Aaltonen LA (eds) Pathology and genetics of tumours of the digestive system. WHO classification of tumours. IARC, Lyon, pp 221–230

  5. Lüttges J, Peters K, Pacena M, Kalthoff H, Klöppel G (2003) HER2 and EGFR expression in ductal adenocarcinomas of the pancreas and associated lymph node metastases. Pathol Res Pract 199: 280

    Google Scholar 

  6. Mentes A, Yuce G (1993) Osteoclast-type giant cell tumor of the pancreas associated with mucinous cystadenoma. Eur J Surg Oncol 19: 84–86

    CAS  PubMed  Google Scholar 

  7. Pignatelli M, Ansari TW, Gunter P, Liu D, Hirano S, Takeichi M, Klöppel G, Lemoine NR (1994) Loss of membranous E-cadherin expression in pancreatic cancer: correlation with lymph node metastasis, high grade, and advanced stage. J Pathol 174: 243–248

    CAS  PubMed  Google Scholar 

  8. Posen JA (1981) Giant cell tumor of the pancreas of the osteoclastic type associated with a mucous secreting cystadenocarcinoma. Hum Pathol 12: 944–947

    CAS  PubMed  Google Scholar 

  9. Qiao Q, Ramadani M, Gansauge S, Gansauge F, Leder G, Beger HG (2001) Reduced membranous and ectopic cytoplasmic expression of beta-catenin correlate with cyclin D1 overexpression and poor prognosis in pancreatic cancer. Int J Cancer 95: 194–197

    CAS  PubMed  Google Scholar 

  10. Solcia E, Capella C, Klöppel G (1997) Tumors of the pancreas. AFIP Atlas of tumor pathology, 3rd series, fascicle 20. Armed Forces Institute of Pathology, Washington/DC

  11. Westra WH, Sturm P, Drillenburg P et al. (1998) K-ras oncogene mutations in osteoclast-like giant cell tumors of the pancreas and liver. Genetic evidence to support origin from the duct epithelium. Am J Surg Pathol 22: 1247–1254

    Article  CAS  PubMed  Google Scholar 

  12. Wilentz RE, Albores-Saavedra J, Hruban RH (2000) Mucinous cystic neoplasms of the pancreas. Semin Diagn Pathol 17: 31–42

    CAS  PubMed  Google Scholar 

  13. Yonemasu H, Takashima M, Nishiyama KI, Ueki T, Yao T, Tanaka M, Tsuneyoshi M (2001) Phenotypical characteristics of undifferentiated carcinoma of the pancreas: a comparison with pancreatic ductal adenocarcinoma and relevance of E-cadherin, alpha catenin and beta catenin expression. Oncol Rep 8: 745–752

    CAS  PubMed  Google Scholar 

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Peters, K., Klöppel, G. Undifferenzierte Pankreaskarzinome. Pathologe 26, 18–21 (2005). https://doi.org/10.1007/s00292-004-0731-4

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  • DOI: https://doi.org/10.1007/s00292-004-0731-4

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