Sarcomatoid Carcinoma of the Pancreas - A Case Report -
김경희, 양현웅, 강대영, 한현영, 이민구,
소속 상세정보
김경희 ( Kim Kyung-Hee )
을지대학교 의과대학 병리학교실
양현웅 ( Yang Hyeon-Woong )
을지대학교 의과대학 내과학교실
강대영 ( Kang Dae-Young )
충남대학교 의과대학 병리학교실
한현영 ( Han Hyun-Young )
을지대학교 의과대학 영상의학교실
이민구 ( Lee Min-Koo )
을지대학교 의과대학 외과학교실
KMID : 0357920060400040306
Abstract
We report here on an unusual case of a 73-year-old Korean female with sarcomatoid carcinoma. This tumor was composed of pancreatic ductal adenocarcinoma and a malignant fibrous histiocytoma-like stroma. The CT imaging revealed a multiseptated heterogenous hypodense mass that was 15 cm in size. The mass was located in the body and tail of the pancreas, spleen and gastrosplenic area. The pathologic examination showed that the carcinomatous component was negative for vimentin, and the sarcomatous component was positive for vimentin and CD 68. The ultrastructural examination showed that both the carcinomatous and sarcomatous components had desmosomes at the cell-cell contact sites. The patient refused postoperative adjuvant chemotherapy and she died of cachexia with generalized tumor extension about 3 months later. This report presents special data that can clarify the clinicopathological features and pathogenesis of this rare neoplasm.
키워드
Pancreas;Sarcomatoid carcinoma
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