Curative resection of a small cell carcinoma of the pancreas: Report of a case of long survival without chemotherapy
A 41‐year‐old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and magnetic resonance imaging showed a slightly enhanced heterogeneous mass, measuring about 5 cm in diameter, adjacent to the pancreas tail and spl...
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Published in | Journal of gastroenterology and hepatology Vol. 19; no. 9; pp. 1087 - 1091 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Melbourne, Australia
Blackwell Science Pty
01.09.2004
Blackwell Science |
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Abstract | A 41‐year‐old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and magnetic resonance imaging showed a slightly enhanced heterogeneous mass, measuring about 5 cm in diameter, adjacent to the pancreas tail and spleen. On abdominal angiography the tumor was found to be fed by the splenic artery, and no encasement was observed. At operation the tumor was connected to the pancreas tail and attached to the spleen, and no metastasis was evident. As a result of these observations, a curative resection was performed. On histological examination the tumor cells had no ductal or architectural organization and were continuous to the normal pancreatic tissues. The cells were negative for Grimelius argylphile and the periodic acid schiff stain. Immunohistochemistry indicated that the tumor cells were positive for keratin and epithelial membrane antigen, but negative for chromogranin A, vimentin, α1‐antitrypsin and α1‐antichymotrypsin. The tumor was diagnosed as a small cell carcinoma of the pancreas, which is a rare disease. In previously reported cases curative resection of the tumor had not been possible because of its rapid progression and metastasis, and the prognosis is generally very poor. In our case, however, curative resection of the tumor was done, and the patient is healthy with no signs of recurrence for 56 months after the operation and with no additional therapy. |
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AbstractList | A 41‐year‐old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and magnetic resonance imaging showed a slightly enhanced heterogeneous mass, measuring about 5 cm in diameter, adjacent to the pancreas tail and spleen. On abdominal angiography the tumor was found to be fed by the splenic artery, and no encasement was observed. At operation the tumor was connected to the pancreas tail and attached to the spleen, and no metastasis was evident. As a result of these observations, a curative resection was performed. On histological examination the tumor cells had no ductal or architectural organization and were continuous to the normal pancreatic tissues. The cells were negative for Grimelius argylphile and the periodic acid schiff stain. Immunohistochemistry indicated that the tumor cells were positive for keratin and epithelial membrane antigen, but negative for chromogranin A, vimentin, α1‐antitrypsin and α1‐antichymotrypsin. The tumor was diagnosed as a small cell carcinoma of the pancreas, which is a rare disease. In previously reported cases curative resection of the tumor had not been possible because of its rapid progression and metastasis, and the prognosis is generally very poor. In our case, however, curative resection of the tumor was done, and the patient is healthy with no signs of recurrence for 56 months after the operation and with no additional therapy. Abstract A 41‐year‐old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and magnetic resonance imaging showed a slightly enhanced heterogeneous mass, measuring about 5 cm in diameter, adjacent to the pancreas tail and spleen. On abdominal angiography the tumor was found to be fed by the splenic artery, and no encasement was observed. At operation the tumor was connected to the pancreas tail and attached to the spleen, and no metastasis was evident. As a result of these observations, a curative resection was performed. On histological examination the tumor cells had no ductal or architectural organization and were continuous to the normal pancreatic tissues. The cells were negative for Grimelius argylphile and the periodic acid schiff stain. Immunohistochemistry indicated that the tumor cells were positive for keratin and epithelial membrane antigen, but negative for chromogranin A, vimentin, α1‐antitrypsin and α1‐antichymotrypsin. The tumor was diagnosed as a small cell carcinoma of the pancreas, which is a rare disease. In previously reported cases curative resection of the tumor had not been possible because of its rapid progression and metastasis, and the prognosis is generally very poor. In our case, however, curative resection of the tumor was done, and the patient is healthy with no signs of recurrence for 56 months after the operation and with no additional therapy. A 41-year-old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and magnetic resonance imaging showed a slightly enhanced heterogeneous mass, measuring about 5 cm in diameter, adjacent to the pancreas tail and spleen. On abdominal angiography the tumor was found to be fed by the splenic artery, and no encasement was observed. At operation the tumor was connected to the pancreas tail and attached to the spleen, and no metastasis was evident. As a result of these observations, a curative resection was performed. On histological examination the tumor cells had no ductal or architectural organization and were continuous to the normal pancreatic tissues. The cells were negative for Grimelius argylphile and the periodic acid schiff stain. Immunohistochemistry indicated that the tumor cells were positive for keratin and epithelial membrane antigen, but negative for chromogranin A, vimentin, alpha1-antitrypsin and alpha1-antichymotrypsin. The tumor was diagnosed as a small cell carcinoma of the pancreas, which is a rare disease. In previously reported cases curative resection of the tumor had not been possible because of its rapid progression and metastasis, and the prognosis is generally very poor. In our case, however, curative resection of the tumor was done, and the patient is healthy with no signs of recurrence for 56 months after the operation and with no additional therapy. |
Author | KINOSHITA, KAZUO OHMORI, YOSHIKAZU TSUJIMURA, TAKAHIRO YOSHIKAWA, KOICHI MINAMI, TAKESHI KANAYAMA, SHUJI |
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Cites_doi | 10.1002/1097-0142(19891115)64:10<2007::AID-CNCR2820641006>3.0.CO;2-7 10.1002/path.1700640420 10.1002/1097-0142(19861201)58:11<2519::AID-CNCR2820581127>3.0.CO;2-0 10.1002/1097-0142(19830701)52:1<121::AID-CNCR2820520122>3.0.CO;2-F 10.3109/01913129709021947 10.1002/mpo.2950170531 10.1002/jso.2930450306 10.3109/00313029309066580 10.1002/1097-0142(19871015)60:8<1809::AID-CNCR2820600823>3.0.CO;2-U 10.1002/1097-0142(19810515)47:10<2500::AID-CNCR2820471032>3.0.CO;2-F 10.1001/archsurg.1961.01300140006002 10.1002/1097-0142(19890201)63:3<564::AID-CNCR2820630328>3.0.CO;2-P 10.1016/S0046-8177(84)80081-7 10.1097/00000478-199011000-00003 10.1097/00000478-198310000-00005 10.1002/1097-0142(19840401)53:7<1552::AID-CNCR2820530722>3.0.CO;2-S 10.2214/ajr.151.5.1056 10.1097/00000478-198411000-00006 10.1002/1097-0142(19920915)70:6<1514::AID-CNCR2820700612>3.0.CO;2-C 10.3109/07357909609012160 10.1001/archderm.1972.01620040075020 10.1002/1097-0142(197306)31:6<1523::AID-CNCR2820310633>3.0.CO;2-8 |
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Keywords | Prognosis Surgical resection Malignant tumor Survival Case study Chemotherapy Treatment Surgery Gastroenterology curative resection Pancreas Vulcanizing agent Small cell carcinoma |
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Cancer contributor: fullname: Morikawa T – volume: 4 start-page: 335 year: 1994 ident: e_1_2_4_30_2 article-title: An autopsy case of undifferentiated carcinoma of the pancreas publication-title: Shoukaki Gan contributor: fullname: Fujita Y – ident: e_1_2_4_23_2 doi: 10.3109/07357909609012160 – ident: e_1_2_4_2_2 doi: 10.1001/archderm.1972.01620040075020 – volume: 98 start-page: 668 year: 2001 ident: e_1_2_4_33_2 article-title: A case of small cell carcinoma of the pancreas publication-title: Nippon Shoukakibyo Gakkai Zasshi contributor: fullname: Tanaka K – ident: e_1_2_4_17_2 doi: 10.1002/1097-0142(197306)31:6<1523::AID-CNCR2820310633>3.0.CO;2-8 – volume: 108 start-page: 149 year: 1984 ident: e_1_2_4_5_2 article-title: Small cell (oat cell) carcinoma of the trachea with endocrine features: report of a case and results of ultrastructual and immunohistochemical study publication-title: Arch. Pathol. 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Snippet | A 41‐year‐old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and... A 41-year-old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed tomography and... Abstract A 41‐year‐old asymptomatic man was, by chance, diagnosed as having a mass in the left upper quadrant of the abdomen by ultrasound. Computed... |
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SubjectTerms | Adult Biological and medical sciences Carcinoma, Small Cell - diagnosis Carcinoma, Small Cell - pathology Carcinoma, Small Cell - surgery curative resection Diagnosis, Differential Diagnostic Imaging Gastroenterology. Liver. Pancreas. Abdomen Humans Immunohistochemistry Male Medical sciences pancreas Pancreatectomy Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery small cell carcinoma |
Title | Curative resection of a small cell carcinoma of the pancreas: Report of a case of long survival without chemotherapy |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1440-1746.2004.02910.x https://www.ncbi.nlm.nih.gov/pubmed/15304133 https://search.proquest.com/docview/66779620 |
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