[Solid pseudopapillary tumors of the pancreas: clinical and morphological characteristics, specific features of their immunophenotype, and diagnostic problems]

Arkh Patol. 2014 Sep-Oct;76(5):44-54.
[Article in Russian]

Abstract

Objective: To analyze 60 cases of solid pseudopapillary tumors (SPTs) of the pancreas, to reveal their most characteristic clinical and morphological features, and to study their possible histogenesis.

Material and methods: Sixty cases of SPTs of the pancreas underwent clinical, morphological, and immunohistochemical (IHC) examinations; a comparison group consisted of 86 pancreatic tumors of other histogenesis.

Results: It has been shown for the first time that SPTs are characterized by the nuclear expression of claudin 3 and the cytoplasmic expression of claudin 7. It has been also ascertained that the aberrant perinuclear (dot-like) expression of CD99 is a unique feature of these tumors.

Conclusion: SPTs of the pancreas are distinguished by a diversity of clinical manifestations and morphological features, but have a unique immunophenotype, which can differentiate them from other types of pancreatic tumors.

MeSH terms

  • 12E7 Antigen
  • Adolescent
  • Adult
  • Aged
  • Antigens, CD / biosynthesis
  • Biomarkers, Tumor / biosynthesis*
  • Carcinoma, Papillary / genetics*
  • Carcinoma, Papillary / pathology
  • Cell Adhesion Molecules / biosynthesis
  • Child
  • Claudin-3 / biosynthesis
  • Claudins / biosynthesis
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Neoplasms / genetics*
  • Pancreatic Neoplasms / pathology
  • Pathology, Molecular*

Substances

  • 12E7 Antigen
  • Antigens, CD
  • Biomarkers, Tumor
  • CD99 protein, human
  • CLDN3 protein, human
  • CLDN7 protein, human
  • Cell Adhesion Molecules
  • Claudin-3
  • Claudins