Undifferentiated Carcinoma of the Pancreas with Osteoclast-Like Giant Cells: Initially Diagnosed as Solid Pseudopapillary Tumor.
10.15279/kpba.2016.21.3.144
- Author:
Woohyeon KIM
1
;
In Seok LEE
;
Eunyoung KIM
;
Chul Hyun LIM
;
Jin Su KIM
;
Yu Kyung CHO
;
Jae Myung PARK
;
Myung Gyu CHOI
Author Information
1. Departments of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. isle@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Carcinoma;
Undifferentiated;
Osteoclast;
Giant cells;
Pancreas
- MeSH:
Abdomen;
Abdominal Pain;
Biopsy;
Carcinoma*;
Diagnosis;
Giant Cells*;
Hemorrhage;
Humans;
Middle Aged;
Necrosis;
Osteoclasts;
Pancreas*;
Pancreatectomy;
Splenectomy;
Ultrasonography;
Weight Loss
- From:Korean Journal of Pancreas and Biliary Tract
2016;21(3):144-149
- CountryRepublic of Korea
- Language:English
-
Abstract:
Undifferentiated carcinoma of the pancreas with osteoclast-like giant cells (UCPOGC) is a rare, highly malignant pancreatic exocrine neoplasm. Here, we report a case of UCPOGC in a 58-year-old man who presented with abdominal pain and weight loss. Abdomen computed tomography (CT) revealed a 5cm sized pancreatic body mass with peripheral enhancement. Endoscopic ultrasound (EUS)-guided biopsy of the mass suggested a solid-pseudopapillary tumor of the pancreas with a marked degenerative change. Distal pancreatectomy and splenectomy were performed. The size of the mass was 5.4 × 4.8 cm and the cut surface showed necrosis and hemorrhage. A definite diagnosis of UCPOGC was made using the histopathology and immunohistochemical findings.