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胰腺实性假乳头状肿瘤的细胞学特征

Cytologic features of solid and cystic tumor of the pancreas.

作者信息

Kashima K, Hayashida Y, Yokoyama S, Nagahama J, Sato K, Daa T, Gamachi A, Nakayama I

机构信息

Department of Pathology, Oita Medical University, Japan.

出版信息

Acta Cytol. 1997 Mar-Apr;41(2):443-9. doi: 10.1159/000332537.

Abstract

OBJECTIVE

To describe the cytologic features of solid and cystic tumor of the pancreas.

STUDY DESIGN

Cytologic features of four cases of solid and cystic tumor of the pancreas (SCT) were reported and compared with those of three cases of islet cell tumor of the pancreas.

RESULTS

Aspiration and imprint cytology of the tumor cells obtained from three cases of SCT showed papillary structures or rosette formations in part and demonstrated uniformly round to oval nuclei that contained finely granular chromatin, a fairly distinct nucleolus and a scant to moderate amount of granular or vesicular cytoplasm. Another case of SCT consisted of multinucleated giant cells with coherent chromatin as well as mononuclear cells with nuclear grooves. Islet cell tumor consisted mainly of clustered or isolated uniform mononuclear cells with rosette formations but without a papillary structure and occasional multinucleated giant cells in all cases. The nuclei of islet cell tumors had peculiar, fine chromatin aggregates with a "salt-and-pepper" appearance and slightly enlarged nucleoli.

CONCLUSION

SCT is cytologically distinguishable from islet cell tumor in spite of having many cytologic features in common with it.

摘要

目的

描述胰腺实性假乳头状瘤的细胞学特征。

研究设计

报告4例胰腺实性假乳头状瘤(SCT)的细胞学特征,并与3例胰腺胰岛细胞瘤的细胞学特征进行比较。

结果

3例SCT肿瘤细胞的穿刺及印片细胞学检查显示部分有乳头结构或菊形团形成,细胞核呈均匀的圆形至椭圆形,染色质细颗粒状,核仁相当明显,胞质内可见少量至中等量的颗粒状或泡状物质。另一例SCT由多核巨细胞和核沟的单核细胞组成,多核巨细胞染色质凝聚。胰岛细胞瘤主要由聚集或散在的形态一致的单核细胞组成,可见菊形团形成,但无乳头结构,所有病例中偶见多核巨细胞。胰岛细胞瘤细胞核有特殊的、细小的染色质聚集,呈“椒盐”样外观,核仁略增大。

结论

尽管SCT与胰岛细胞瘤有许多共同的细胞学特征,但在细胞学上仍可区分。

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