Smit W, Mathy J P, Donaldson E
Eastern Suburbs Pathology Service Box Hill, Victoria, Australia.
Pathology. 1993 Oct;25(4):420-2. doi: 10.3109/00313029309090873.
Primary carcinoma of the pancreas exhibiting squamous differentiation is unusual. We present such a case which was diagnosed by percutaneous fine needle aspiration biopsy. A cytological diagnosis of squamous cell carcinoma lead to the question: was the tumour primary or secondary? Subsequent post-mortem examination confirmed a primary carcinoma of the head of the pancreas with predominantly squamous differentiation and a small component of glandular differentiation. Cytologic diagnosis of squamous cell carcinoma should prompt a review of clinical and radiologic data. Evidence of a malignant glandular component should also be sought.
表现出鳞状分化的胰腺原发性癌并不常见。我们报告这样一例经皮细针穿刺活检确诊的病例。鳞状细胞癌的细胞学诊断引发了一个问题：该肿瘤是原发性还是继发性的？随后的尸检证实为胰腺头部原发性癌，主要为鳞状分化，并有一小部分腺性分化。鳞状细胞癌的细胞学诊断应促使对临床和放射学数据进行复查。还应寻找恶性腺性成分的证据。
