Abstract
A case of a solid and papillary (solid-cystic) tumor of the pancreas occurring in a 36-year-old man is herein reported. This patient was admitted with left hypochondrial pain and diagnostic imaging detected a large tumor consisting of both solid and cystic components in the tail of the pancreas. A distal pancreatectomy with splenectomy was performed. The resected tumor was diagnosed as a solid and papillary tumor of the pancreas by pathological examination. Detailed immunohistochemical studies showed that the tumor consisted of cells both exocrine and endocrine in character. Thus, this case appears interesting from the point of cellular differentiation in solid and papillary tumors, since they are generally considered to have an acinar cell origin.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Klöppel G, Morohoshi T, John HD, Oehmichen W, Opitz K, Angelkort A, Leitz H, Ruckert K (1981) Solid and cystic acinar cell tumor of the pancreas. Virchows Arch [A] 392:171–183
Bombi JA, Milla A, Badal JM, Piulachs J, Estape J, Caedesa A (1984) Papillary-cystic neoplasm of the pancreas; report of two cases and review of the literature. Cancer 54:780–784
Schlosnagle DC, Campbell WG (1981) The papillary and solid neoplasm of the pancreas; reporting two cases with electron microscopy. Cancer 47:2603–2610
Compagno J, Oertel J (1979) Solid and papillary epithelial neoplasm of the pancreas, probably of small duct origin. A clinicopathologic study of 52 cases (abstract). Lab Invest 40:248–249
Friedman AC, Lichtenstein JE, Fishman JE, Oertel JE, Dachman AH, Siegelman SS (1985) Solid and papillary epithelial neoplasm of the pancreas. Radiology 154:333–337
Yamaguchi K, Hirakata R, Kitamura K (1990) Papillary cystic neoplasm of the pancreas: Radiological and pathological characteristics in 11 cases. Br J Surg 77:1000–1003
Foote A, Simpson JS, Stewart RJ, Wakefield J, Buchnan A, Gupta RK (1986) Diagnosis of the rare solid and papillary epithelial neoplasm of the pancreas by fine needle aspiration cytology. Acta Cytol 30:519–522
Todani T, Shimada K, Watanabe Y, Toki A, Fujii T, Urushihara N (1988) Frantz's tumor: A papillary and cystic tumor of the pancreas in girls. J Pediatr Surg 23:116–121
Kaufman SL, Reddick RL, Stiegel M, Wild RE, Thomas CG (1986) Papillary cystic neoplasm of the pancreas: A curable pancreatic tumor. World J Surg 10:851–859
Morohoshi T, Kanda M, Horie A, Chott A, Dreyer T, Klöppel G, Heitz PV (1987) Immunohistochemical markers of uncommon pancreatic tumors. Acinar cell carcinoma, pancreato-blastoma, and solid cystic (papillary-cystic) tumor. Cancer 59:739–747
Hamoudi AB, Misugi K, Grosfeld JL, Reiner CB (1970) Papillary epithelial neoplasms in a child, report of a case with electron microscopy. Cancer 26:1126–1134
Matsunou H, Konishi F (1990) Papillary-cystic neoplasm of the pancreas. A clinicopathologic study concerning the tumor aging and malignancy of nine cases. Cancer 65:283–291
Miettinen M, Partanen S, Fraki O, Kivilaakso E (1987) Papillary cystic tumor of the pancreas. An analysis of cellular differentiation by electron microscopy and immunohistochemistry. Am J Surg Pathol 11:855–865
Frantz VK (1959) Tumors of the pancreas. In: Blumberg CW, ed Atlas of tumor pathology, 1st series, fascicle 27–28. US Armed Forces Institute of Pathology, Washington
Morohoshi T, Held G, Klöppel G (1983) Exocrine pancreatic tumors and their histological classification. A study based on 167 autopsy and 97 surgical cases. Histopathology 7:645–661
Klöppel G, Maurer R, Hofmann E, Luthold K, Oscarson J, Forsby N, Ihse I, Ljungberg O, Heitz PU (1991) Solid-cystic (papillary-cystic) tumors within and outside the pancreas in men: report of two patients. Virchows Arch [A] 418:179–183
Chott A, Klöppel G, Buxbaum P, Heitz PV (1987) Neuronspecific enolase demonstration in the diagnosis of a solid-cystic (papillary cystic) tumor of the pancreas. Virchows Arch [A] 410:397–402
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ohashi, K., Nakajima, Y., Hisanaga, M. et al. A solid and papillary (solid-cystic) tumor of the pancreas occurring in a 36-year-old man: Report of a case. Surg Today 23, 551–555 (1993). https://doi.org/10.1007/BF00730634
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00730634