Surgical resection of high‐grade nonfunctional pancreatic neuroendocrine carcinoma is associated with improved survival

Author(s):  
Jerry Jiang ◽  
Joon Park ◽  
Stephanie Kim ◽  
Amanda Daan ◽  
Timothy Donahue ◽  
...  

2016 ◽  
Vol 60 (3) ◽  
pp. 267-274 ◽  
Author(s):  
Deepika Savant ◽  
Lili Lee ◽  
Kasturi Das

Background: Intraductal tubulopapillary neoplasm of the pancreas (ITPN) is a rare tumor which was first described in 2009. We report a case with cytologic and histologic findings and discuss the pitfalls in diagnosing this entity on cytology. Case: An 82-year-old female presented with a pancreatic body mass measuring 3.3 cm. Endoscopic ultrasound-guided fine-needle aspiration showed cells in cohesive clusters with high-grade nuclear atypia. Immunohistochemistry (IHC) showed the neoplastic cells to be positive for CK19, CD56 and chromogranin (focal). Ki-67 was high at 50-60%, and chymotrypsin was negative. On the basis of this pattern of staining, the cytologic diagnosis rendered was ‘favors high-grade neuroendocrine carcinoma'. Distal pancreatic resection revealed a cystic 4-cm mass. Histologically, the tumor was seen arising from the duct with a solid growth pattern, tubule formation and papillary structures. IHC showed the tumor to be negative for chromogranin, synaptophysin, CD56, trypsin and chymotrypsin. The Ki-67 index was 70%. The final diagnosis was noninvasive ITPN. Conclusion: We review the literature and discuss the cytomorphologic features and IHC patterns characteristic of this new entity on cytology material in addition to the pitfalls of the cytologic diagnosis.







2015 ◽  
Vol 46 (2) ◽  
pp. 166-169 ◽  
Author(s):  
Jason Zhu ◽  
Jonathan R. Strosberg ◽  
Evan Dropkin ◽  
John H. Strickler


2015 ◽  
Vol 23 (5) ◽  
pp. 1721-1728 ◽  
Author(s):  
Sven-Petter Haugvik ◽  
Eva Tiensuu Janson ◽  
Pia Österlund ◽  
Seppo W. Langer ◽  
Ragnhild Sørum Falk ◽  
...  


2016 ◽  
Vol 18 (5) ◽  
Author(s):  
Sven-Petter Haugvik ◽  
Daniel Kaemmerer ◽  
Sebastien Gaujoux ◽  
Knut Jørgen Labori ◽  
Caroline Sophie Verbeke ◽  
...  


2013 ◽  
Vol 6 (2) ◽  
pp. 441-449 ◽  
Author(s):  
Paula J. Fonseca ◽  
Esther Uriol ◽  
José A. Galván ◽  
Carlos Álvarez ◽  
Quionia Pérez ◽  
...  


2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Eisuke Mochizuki ◽  
Shun Matsuura ◽  
Kyohei Oishi ◽  
Koichi Miyashita ◽  
Koshiro Ichijyo ◽  
...  


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