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Amphicrine Tumor

  • Case Report
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Pathology & Oncology Research

Abstract

The term amphicrine refers to cells, and tumors, which show both exocrine and endocrine features. Author’s aim was to analyse the characteristics of these neoplasms. 40 suspicious cases were reviewed. Mucin-stains (PAS, diastase-PAS, Stains-all, Alcian-blue), immunohistochemistry (antibodies against Neuron-Specific Enolase (NSE), and Chromogranin A (CGA), and electronmicroscopic studies were performed to demonstrate exocrine and/or endocrine features of the tumor cells. By means of these methods, 16 cases turned out to be amphicrine tumors. Among them, there were 4 sinonasal, 1 bronchial, 1 mediastinal, 8 gastrointestinal and 2 suprarenal gland neoplasms. In connection to the subject, a brief review is given of amphicrine tumor, regarding its etiological and pathological aspects. These tumors form a distinct clinicopathological entity and should be separated from both neuroendocrine tumors and adenocarcinomas.

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References

  1. Al-Talib RK, Mason CH, andTheaker JM: Combined goblet cell carcinoid and mucinous cystadenoma of the appendix. J Clin Pathol 48:869–870, 1995.

    Article  PubMed  CAS  Google Scholar 

  2. Andrew A: A study of the development relationships between enterochromaffin cells and the neural crest. J Embryol Exp Morphol 11:307–324, 1963.

    Google Scholar 

  3. Azzopardi JG, andHou LT: Intestinal metaplasia with argentaffin cell in cervical adenocarcinoma. J Pathol Bact 90:686–690, 1965.

    Article  CAS  Google Scholar 

  4. Borch K, Renvall H, Kullman E, et al: Gastric carcinoid associated with the syndrome of hypergastrinemic atrophic gastritis. A prospective analysis of 11 cases. Am J Surg Pathol 11:435–444, 1987.

    Article  PubMed  CAS  Google Scholar 

  5. Borchard FZ: Das diffuse endokrine System und die Karzinoide des Gastro-intestinaltraktes. Gastroenterologie 20:187–205, 1982.

    CAS  Google Scholar 

  6. Bordi C, DöAddo T, Pilato FP, et al: Carcinoid (ECL cell) tumor of the oxynic mucosa of the stomach: a hormone dependent neoplasm? In: Progress in surgical pathology. (Eds:Fenoglio-Preister C, Wolff M, andRilke F) Vol 8. Philadelphia: Field & Wood, 1988, pp. 177–195.

    Google Scholar 

  7. De Bruïne AP, Dinjens WNM, Zijlema JHL, et al: Renewal of enterochromaffin cells in the rat caecum. Anat Rec 233:75–82, 1992b.

    Article  PubMed  Google Scholar 

  8. De Bruïne A P, Wiggers Th, Beek C et al.: Endocrine cells in colorectal adenocarcinomas: incidence, hormone profile and prognostic relevance. Int J Cancer 54:765–771, 1993.

    Article  PubMed  Google Scholar 

  9. Capella C, Eusebi V, Mann B, et al: Endocrine differentiation in mucoid carcinoma of the breast. Hystopathol 4:613–630, 1980.

    Article  CAS  Google Scholar 

  10. Capella C, Usellini L, Papotti M, et al.: Ultrastructural Features of Neuroendocrine Differentiated Carcinomas of the Breast. Ultrastruct Pathol 14:321–334, 1990.

    Article  PubMed  CAS  Google Scholar 

  11. Chejfec C, Falkmer S, Askensten U, et al: Neuroendocrine tumors of the gastrointestinal tract. Pathol Res Pract 183:143–154, 1988.

    PubMed  CAS  Google Scholar 

  12. Cox WF Jr., andPierce B: The endodermal origine of the endocrine cells of an adenocarcinoma of the colon of the rat. Cancer 50:1530–1538, 1982.

    Article  PubMed  Google Scholar 

  13. Eusebi V, Mambelli V, Tison V, et al.: Endocrine differentation in basal cell carcinoma. Tumori 65:191–199, 1979.

    PubMed  CAS  Google Scholar 

  14. Faverly DRGS, Manni JJ, Smedts, et al.: Adeno-carcinoid or Amphicrine Tumors of the Middle Ear a New Entity? Path Res Pract 188:162–171, 1992.

    PubMed  CAS  Google Scholar 

  15. Feyrter F: über diffuse endokrine epitheliale Organe. Johann Ambrosius Barth, Leipzig, 1938.

    Google Scholar 

  16. Fontaine J, andLeDouarin NM: Analysis of endoderm formation in the avian blastoderm by the use of quail-chick chi-maeras. The problem of the neuroectodermal origin of the cells of the APUD series. J Embryol Exp Morphol 41:209–222, 1977.

    PubMed  CAS  Google Scholar 

  17. Golouh R, Us-Krasovec M, Auersperg M, et al.: Amphicrine — Composite Calcitonin and Mucin-Producing − Carcinoma of the Thyroid. Ultrastruct Pathol 8:197–206, 1985.

    Article  PubMed  CAS  Google Scholar 

  18. Gouzi J-L, Laigneau P, Delalande J-P, et al.: Indications for right hemicolectomy in carcinoid tumors of the appendix. Surg Gynecol Obstet 176:543–547, 1993.

    PubMed  CAS  Google Scholar 

  19. Grace C, Yang H, Rotterdam H: Mixed (composite) Gladular-Endocrine Cell Carcinoma of the Stomach. Am J Surg Pathol. 15:592–598, 1991.

    Google Scholar 

  20. Hidvégi J, Zsolnai B, Szinay G: Amphicrine Tumor of the Vulva. Path Res Pract 183:505–508, 1988.

    PubMed  Google Scholar 

  21. Hirt RS, Evans LD, Buroker RA, Oleson FB: Gastric ente-rochromaffin-like cell hyperplasia and neoplasia in the rat: an indirect effect of the histamine H2-antagonist BL-6341. Toxicol Pathol 16:273–287, 1988.

    Google Scholar 

  22. Itsuno M, Watanabe H, Iwafuchi M, et al.: Multiple carcinoids and endocrine cell micronests in type A gastritis. Their morphology, histogenesis, and natural history. Cancer. 63:881–890, 1989.

    Article  PubMed  CAS  Google Scholar 

  23. Kyung-Whan Min: Usefulness of Electron Microscopy in the Diagnosis of “Small” Round Cell Tumors of the Sinonasal Region. Ultrastruct Pathol 19:347–363, 1995.

    Article  Google Scholar 

  24. Laine VJO, Ekfors TO, Gullichsen R, et al: Immunohistochemi-cal characterization of an amphicrine mucinous islet-cell carcinoma of the pancreas. APMIS 100:335–340, 1992.

    Article  PubMed  CAS  Google Scholar 

  25. Lewin KJ: Carcinoid tumors and the mixed (composite) glandular-endocrine cell carcinomas. Am J Surg Pathol 11(Suppl 1): 71–86, 1987.

    Article  PubMed  Google Scholar 

  26. Mendelsohn G, De La MonteS, Dunn JL, et al: Gastric carcinoid tumors, endocrine cell hyperplasia, and associated intestinal metaplasia. Histologic, histochemical, and immunohisto-chemical findings. Cancer 60:1022–1031, 1987.

    Article  PubMed  CAS  Google Scholar 

  27. Müller K-M, Fisseler-Eckhoff A: What’ s New in Lung Tumor Heterogeneity? Path.Res.Pract. 184:108–115, 1989.

    Google Scholar 

  28. Ordoñez NG, Balsaver AM, Mackay B: Mucinous islet cell (amphicrine) carcinoma of the pancreas associated with watery diarrhea and hypokalaemia syndrome. Hum Pathol 19:1458–1461, 1988.

    Article  PubMed  Google Scholar 

  29. Paladugu R, Nathwani B, Goodstein J, et al: Carcinoma of the larynx with mucosubstance production and neuroendocrine differentiation. Cancer 42:343–349, 1982.

    Article  Google Scholar 

  30. Papadimitriou JC, Weihing RR, Choi C, et al: Prostatic Marker-Negative Amphicrine Carcinoma of the Prostate. Ultrastruct Pathol 18:357–363, 1994.

    Article  PubMed  CAS  Google Scholar 

  31. Pasquinelli G, Santini D, Preda P, et al.: Composite gastric carcinoma and precursor lesions with amphicrine features in chronic atrophic gastritis. Ultrastruct Pathol 17:9–24, 1993.

    Article  PubMed  CAS  Google Scholar 

  32. Ratzenhofer M: über enterale hyperplasien und Geschwulste der disseminerten endokrinen (parakrinen) Hellen Zellen Feyrters unter Berucksichtigung amphikriner Zellwucherungen. Verh Dtsch Ges Pathol. Tag Erlangen, 61:7–24, 1977.

    CAS  Google Scholar 

  33. Ratzenhofer M, Auböck L: The amphicrine (endo-exocrine) cells in the human gut, with a short reference to amphicrine neoplasias. Acta Morphologica Acad Sci Hung 28:37–58, 1980.

    CAS  Google Scholar 

  34. Poynter D, Pick CR, Harcourt RA, et al: Association of long lasting unsur-mountable histamine H2 blockade and gastric carcinoid tumors in the rat. Gut. 26:1284–1295, 1985.

    Article  PubMed  CAS  Google Scholar 

  35. Sakamoto F, Ito M, Matumura G, et al.: Ultrastructural study of a mucinous carcinoid of the skin J Cutan Pathol 18:128–133, 1991.

    Article  PubMed  CAS  Google Scholar 

  36. Schmid KO, Auböck L, Albegger K: Endocrine-Amphicrine Enteric Carcinoma of the Nasal Mucosa. Virchows Arch A Path Anat Histol 383:329–343, 1979.

    Article  CAS  Google Scholar 

  37. Sheppard MN, Thurlow NP, Dewar A: Amphicrine Differentiation in Bronchiolo-alveolar Cell Carcinoma. Ultrastruct Pathol 18:437–441, 1994.

    Article  PubMed  CAS  Google Scholar 

  38. Sidhu GS: The endodermal origin of digestive and respiratory tract APUD cells. Am J Pathol 96:5–20, 1979.

    PubMed  CAS  Google Scholar 

  39. Sjoblom SM, Sipponen P, Karonen SL, et al: Mucosal argy-rophil endocrine cells in pernicious anaemia and upper gastrointestinal carcinoid tumors. J Clin Pathol 42:371–377, 1989.

    Article  PubMed  CAS  Google Scholar 

  40. Soga J, Tazawa K: Pathologic analysis of carcinoid. Histologic e-evaluation of 62 cases. Cancer 28:990–998, 1971.

    Article  PubMed  CAS  Google Scholar 

  41. Solcia E, Capella C, Sessa F, et al: Gastric carcinoids and related endocrine growths. Digestion. 35(Suppl): 3–22, 1986.

    Article  PubMed  Google Scholar 

  42. Solcia E, Bordi C, Creutzfeldt W, et al: Histopathological classification of non-antral gastric endocrine growths in man. Digestion. 41:185–200, 1988.

    Article  PubMed  CAS  Google Scholar 

  43. Solcia E, Rindi G, Fiocca R, et al: Distinct patterns of chronic gastritis associated with carcinoid and cancer and their role in tumorigenesis. Yale J Biol Med. 65:793–804, 1992.

    PubMed  CAS  Google Scholar 

  44. Wassef M, Kanavaros P, Polivka M, et al: Middle Ear Adenoma— A Tumor Displaying Mucinous and Neuroendocrine Differentiation. Am J Pathol 13:838–847, 1989.

    Article  CAS  Google Scholar 

  45. Watson PH, Alguacil-Garcia A: Mixed crypt cell carcinoma. A clinicopathological study of the so-called “Goblet cell carcinoid” Virchows Arch A 412:175–182, 1987.

    Article  CAS  Google Scholar 

  46. Wisniewski M, Toker C: Composite tumor of the gallbladder exhibiting both carcinomatous and carcinoidal patterns. Am J Gastroenterol 58:633–637, 1972.

    PubMed  CAS  Google Scholar 

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Correspondence to László MÁndoky.

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MÁndoky, L. Amphicrine Tumor. Pathol. Oncol. Res. 5, 239–244 (1999). https://doi.org/10.1053/paor.1999.0211

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  • DOI: https://doi.org/10.1053/paor.1999.0211

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