Fujiwara Chinatsu, Miyazaki Shinya, Katoh Yoshitaka, Ito Tsuyoshi, Koyama Aya, Takahashi Naofumi, Shiga Atsushi, Harada Takanori
The Institute of Environmental Toxicology, 4321 Uchimoriya-machi, Joso-shi, Ibaraki 303-0043, Japan.
J Toxicol Pathol. 2023 Apr;36(2):139-143. doi: 10.1293/tox.2022-0114. Epub 2023 Jan 20.
Ectopic pancreatic tissue can occasionally cause inflammation, hemorrhage, stenosis, and invagination, similar to normal pancreatic tissue; however, tumorigenesis is rare. This case report describes an ectopically observed pancreatic acinar cell carcinoma in the thoracic cavity of a female Fischer (F344/DuCrlCrlj) rat. Histopathologically, polygonal tumor cells with periodic acid-Schiff-positive cytoplasmic eosinophilic granules showed solid proliferation and infrequently formed acinus-like structures. Immunohistochemically, the tumor cells were positive for cytokeratin, trypsin, and human B-cell leukemia/lymphoma 10, which specifically reacted with pancreatic acinar cells, and negative for vimentin and human α-smooth muscle actin. Ectopic pancreas develops in the submucosa of the gastrointestinal tract; however, there are few reports of its development and neoplasia in the thoracic cavity. To the best of our knowledge, this is the first report of ectopic pancreatic acinar cell carcinoma in the thoracic cavity of a rat.
异位胰腺组织偶尔可引起炎症、出血、狭窄和套叠,与正常胰腺组织相似;然而,肿瘤发生较为罕见。本病例报告描述了在一只雌性Fischer(F344/DuCrlCrlj)大鼠胸腔中异位观察到的胰腺腺泡细胞癌。组织病理学上,具有高碘酸-希夫阳性细胞质嗜酸性颗粒的多边形肿瘤细胞呈实性增殖,很少形成腺泡样结构。免疫组织化学检查显示,肿瘤细胞细胞角蛋白、胰蛋白酶和人类B细胞白血病/淋巴瘤10呈阳性,后者与胰腺腺泡细胞特异性反应,波形蛋白和人类α平滑肌肌动蛋白呈阴性。异位胰腺在胃肠道黏膜下层发育;然而,关于其在胸腔内发育和肿瘤形成的报道很少。据我们所知,这是大鼠胸腔内异位胰腺腺泡细胞癌的首例报告。