Carcinome tubuleux intracanalaire pancréatique : sous-groupe ou entité distincte des tumeurs intracanalaires papillaires mucineuses ?
Nous rapportons l’observation d’un homme de 67 ans chez qui une tumeur isolée de 3 cm de la queue du pancréas était découverte à la suite d’un amaigrissement. Une spléno-pancréatectomie caudale était réalisée. L’examen histopathologique révélait une tumeur développée dans le canal de Wirsung et les...
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| Published in: | Gastroentérologie clinique et biologique Vol. 30; no. 11; pp. 1301 - 1304 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | French |
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Elsevier Masson SAS
01-11-2006
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| Abstract | Nous rapportons l’observation d’un homme de 67 ans chez qui une tumeur isolée de 3 cm de la queue du pancréas était découverte à la suite d’un amaigrissement. Une spléno-pancréatectomie caudale était réalisée. L’examen histopathologique révélait une tumeur développée dans le canal de Wirsung et les canaux secondaires, avec un contingent adénocarcinomateux infiltrant minoritaire associé. La tumeur intracanalaire avait une architecture cribriforme, des cellules atypiques sans mucus et un phénotype MUC1+, MUC2-, MUC5AC-, aspects caractéristiques du carcinome tubuleux intracanalaire, nouvelle entité décrite par des auteurs japonais. Les diagnostics différentiels et ses rapports avec les tumeurs intracanalaires papillaires mucineuses sont discutés.
We report the case of a 67-year-old man presenting with an isolated 3 cm mass of the pancreatic tail revealed by weight loss. Distal pancreatectomy and splenectomy were performed. Microscopically, the tumor filled the main pancreatic duct, extending into the smaller ducts and was associated with a minor adenocarcinomatous invasive component. The intraductal tumor showed a cribriform pattern, atypical cells without mucus and a MUC1+, MUC2-, MUC5AC- phenotype, all characteristics of intraductal tubular carcinoma, a new entity described by Japanese authors. The differential diagnosis and its relationship with intraductal papillary-mucinous tumors are discussed. |
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| AbstractList | Nous rapportons l’observation d’un homme de 67 ans chez qui une tumeur isolée de 3 cm de la queue du pancréas était découverte à la suite d’un amaigrissement. Une spléno-pancréatectomie caudale était réalisée. L’examen histopathologique révélait une tumeur développée dans le canal de Wirsung et les canaux secondaires, avec un contingent adénocarcinomateux infiltrant minoritaire associé. La tumeur intracanalaire avait une architecture cribriforme, des cellules atypiques sans mucus et un phénotype MUC1+, MUC2-, MUC5AC-, aspects caractéristiques du carcinome tubuleux intracanalaire, nouvelle entité décrite par des auteurs japonais. Les diagnostics différentiels et ses rapports avec les tumeurs intracanalaires papillaires mucineuses sont discutés.
We report the case of a 67-year-old man presenting with an isolated 3 cm mass of the pancreatic tail revealed by weight loss. Distal pancreatectomy and splenectomy were performed. Microscopically, the tumor filled the main pancreatic duct, extending into the smaller ducts and was associated with a minor adenocarcinomatous invasive component. The intraductal tumor showed a cribriform pattern, atypical cells without mucus and a MUC1+, MUC2-, MUC5AC- phenotype, all characteristics of intraductal tubular carcinoma, a new entity described by Japanese authors. The differential diagnosis and its relationship with intraductal papillary-mucinous tumors are discussed. |
| Author | Lazure, Thierry Thirot-Bidault, Anne Pelletier, Gilles Dhalluin-Venier, Valérie Fabre, Monique Dimet, Stéphanie Ples, Raluca |
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| Cites_doi | 10.1097/00000478-200107000-00014 10.1007/s004280000342 10.1097/01.mpa.0000148513.69873.4b 10.1097/00000478-199608000-00007 10.1097/00000478-200407000-00001 10.1097/01.pas.0000157939.03409.ec 10.1007/s00535-004-1347-4 10.1097/01.pas.0000126675.59108.80 10.1007/s00428-005-0039-7 |
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| DocumentTitleAlternate | Pancreatic intraductal tubular carcinoma: a sub-group of intraductal papillary-mucinous tumors or a distinct entity? A case report and review of the literature |
| EndPage | 1304 |
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