Pleomorphic carcinoma of the pancreas with massive lymphocytic stromal infiltration and long-term survival after resection View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-06

AUTHORS

Katsumi Kurihara, Hideo Nagai, Kogoro Kasahara, Toshiro Kawai, Ken Saito, Kyotaro Kanazawa

ABSTRACT

BACKGROUND: Pleomorphic carcinoma of the pancreas is a rare tumor with an extremely poor prognosis. The mean survival time is reported to be approx 3 mo. CLINICAL AND HISTOLOGICAL FINDINGS: A 56-yr-old Japanese man presenting with general fatigue, loss of weight, and high fever was found to have a large hypervascular mass in the body of the pancreas with regional lymph node metastases. Laboratory investigation revealed leukocytosis, elevated erythrocyte sedimentation rate (ESR), and high serum C-reactive protein (CRP). In addition to distal pancreatectomy, splenectomy and lymph node dissection were performed. Histology showed the presence of pleomorphic large cells with bizarre mono- or multinuclei, growing in sarcomatoid pattern without mutual cohesiveness. Another noticeable finding was massive lymphocytic infiltration of the stroma of the neoplasm. Immunohistochemically, the infiltrating lymphocytes consisted of cytotoxic type of T cells. In addition, in situ hybridization for Epstein-Barr virus-encoded RNA (EBAR-1) was not seen in the tumor cells or in lymphocytes. After surgery the patient did not undergo chemotherapy or radiotherapy. He has been well without recurrence for 8 yr. CONCLUSION: We report a case of pleomorphic carcinoma, possibly lymphoepithelioma-like carcinoma, of the pancreas with massive lymphocytic stromal infiltration and long-term survival after resection. Cytokine responses and cellular immunoreactivity may have contributed to a long-term survival, which is unusual in the common type of pleomorphic carcinoma of the pancreas. More... »

PAGES

241-248

References to SciGraph publications

  • 1998-07. Pleomorphic carcinoma of the pancreas: reappraisal of surgical resection in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 1989-09. Oesophageal squamous cell carcinoma with lymphoid stroma in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1385/ijgc:27:3:241

    DOI

    http://dx.doi.org/10.1385/ijgc:27:3:241

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1010346091

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/10952407


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