췌장의 샘꽈리세포낭종- 화생성 골화를 동반한 1예보고 -
Acinar Cell Cystadenoma of the Pancreas - Report of a Case with Metaplastic Ossification -
김백희, 박석연, 김보미, 강경훈,
소속 상세정보
김백희 ( Kim Baek-Hee )
서울대학교 의과대학 병리학교실
박석연 ( Park Seog-Yun )
서울대학교 의과대학 병리학교실
김보미 ( Kim Bo-Mi )
서울대학교 의과대학 병리학교실
강경훈 ( Kang Gyeong-Hoon )
서울대학교 의과대학 병리학교실
KMID : 0357920070410030203
Abstract
Acinar cell cystadenoma (ACA) is a very rare cystic lesion of the pancreas. The lining epithelium of ACA is morphologically identical to acinar cells of the pancreas. It is uncertain whether ACA is a benign neoplasm or cystic transformation of acinar glands but it is worthy to consider ACA in the differential diagnosis of other cystic neoplasms of the pancreas. We report here a 25-year old-woman who was operated on for a cystic mass of the pancreas. Grossly, a multilocular cystic mass containing clear serous fluid was observed. There was no communication between the cysts and the pancreatic ducts. Microscopically, cysts of various size were lined by columnar, cuboidal or flattened epithelial cells with a few foci of pseudostratification. The cells had granular apical cytoplasm and basally located nuclei with minimal atypia, the same as normal acinar cells. Metaplastic ossification was noted in the stroma. Immunohistochemically, the lining epithelium was positive for cytokeratin 7, antitrypsin and antichymotrypsin.
키워드
Acinar cell;Cystadenoma;Pancreatic neoplasm
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