Grosse-Holz M, V Streitberg U, Thies J, Lenhart M, Seitz G
Institut für Pathologie, Klinikum der Sozialstiftung Bamberg, Buger Strasse 80, Bamberg, Germany.
Pathologe. 2013 Sep;34(5):463-5. doi: 10.1007/s00292-013-1809-7.
A cystic entity from the porta hepatis of a 64-year-old female patient was sent in for rapid section diagnostics with a clinical suspicion of pancreatic cancer. The rapid section diagnostics revealed aspects of glandular proliferation with mucous-like material in the lumina which led to the suspicion of infiltration of a highly differentiated mucinous adenocarcinoma. However, conventional paraffin-section histology and the immunohistochemical marker profile could not confirm this suspicion but an adenomatoid tumor was diagnosed. In typical locations in the genital area of both genders, this entity is a current differential diagnosis to infiltrations of an adenocarcinoma.
一名64岁女性患者肝门处的囊性肿物被送检进行快速切片诊断,临床怀疑为胰腺癌。快速切片诊断显示有腺体增生,管腔内有黏液样物质,这引发了对高分化黏液腺癌浸润的怀疑。然而,传统石蜡切片组织学检查和免疫组化标志物谱未能证实这一怀疑,最终诊断为腺瘤样瘤。在男女生殖器区域的典型部位,该病变是腺癌浸润的鉴别诊断对象。