Fujiwara Shiori, Yamaguchi Yuko, Saito Tsubasa, Nakazawa Tomomi, Tamura Kazutoshi
Pathology Division, BoZo Research Center Inc., 1284 Kamado, Gotemba-shi, Shizuoka 412-0039, Japan.
J Toxicol Pathol. 2022 Jan;35(1):99-102. doi: 10.1293/tox.2021-0037. Epub 2021 Oct 8.
This case report describes a case of spontaneous pancreatic islet cell carcinoma with vascular invasion in a 110-week-old male F344 rat. Histologically, a pancreatic nodule consisting of tumor cells and many blood-rich vessels, and covered with a fibrous capsule showed local invasion in the capsule and adjacent acinar tissues, encircling a large duct-like structure (DS). The tumor was composed of well-differentiated tumor cells resembling normal pancreatic islet cells, which had small round nuclei and eosinophilic cytoplasm. Mitotic figures were rare. Immunohistochemistry revealed that the tumor cells were positive for insulin. Although endothelial cells were not detected, the DS wall showed cells positive for α-smooth muscle actin and elastic fibers, suggesting that the DS is the pancreatic artery. This is a rare case of islet cell carcinoma consisting of well-differentiated tumor cells with invasion of the pancreatic artery in a rat.
本病例报告描述了一只110周龄雄性F344大鼠发生的自发性胰岛细胞癌伴血管侵犯的病例。组织学上,一个由肿瘤细胞和许多血供丰富的血管组成、被纤维包膜覆盖的胰腺结节显示包膜及相邻腺泡组织有局部侵犯,环绕一个大的导管样结构(DS)。肿瘤由类似于正常胰岛细胞的高分化肿瘤细胞组成,这些细胞有小的圆形细胞核和嗜酸性细胞质。有丝分裂象罕见。免疫组化显示肿瘤细胞胰岛素呈阳性。虽然未检测到内皮细胞,但DS壁显示α-平滑肌肌动蛋白和弹性纤维呈阳性的细胞,提示DS为胰腺动脉。这是一例在大鼠中由高分化肿瘤细胞组成且侵犯胰腺动脉的胰岛细胞癌罕见病例。