Medical College of Wisconsin
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Synchronous pancreatic tumors in a patient with history of Wilms tumor: A case of pancreatic adenocarcinoma and lipid-rich neuroendocrine tumor diagnosed by cytopathology. Diagn Cytopathol 2018 Oct;46(10):864-869

Date

09/09/2018

Pubmed ID

30194916

DOI

10.1002/dc.23978

Scopus ID

2-s2.0-85052923856 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

Synchronous tumors represent a very small portion of pancreatic tumors. Although there is a higher incidence of secondary malignant neoplasms (SMN) in patients with history of Wilms tumor (WT), pancreatic tumors are very infrequent SMNs in this population. We report the first case of synchronous pancreatic tumors in a patient with history of WT. Two separated pancreatic lesions were identified by abdominal computerized tomography (CT) scan. Fine-needle aspiration of both lesions was performed for cytopathology examination. A pancreatic adenocarcinoma was diagnosed in the head of pancreas, and the pancreatic body lesion was found to be a neuroendocrine tumor (NET). The NET had characteristic vacuolated lipid-rich cytoplasm. Further molecular testing was done on both tumors, but no common cancer-associated mutation was found.

Author List

Huang H, Giorgadze T

Author

Tamara Giorgadze MD Professor in the Pathology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adenocarcinoma
Cytodiagnosis
Humans
Lipids
Male
Middle Aged
Neoplasms, Multiple Primary
Neuroendocrine Tumors
Pancreatic Neoplasms
Tomography, X-Ray Computed
Wilms Tumor