The pathology of ductal-type pancreatic carcinomas and pancreatic intraepithelial neoplasia: Insights for clinicians

被引:23
作者
Klöppel G. [1 ]
Lüttges J. [1 ]
机构
[1] Department of Pathology, University of Kiel, 24105 Kiel
关键词
Pancreatic Duct; Intraductal Papillary Mucinous Neoplasm; Mucinous Cystic Neoplasm; Familial Pancreatic Cancer; Pancreatic Duct System;
D O I
10.1007/s11894-004-0037-y
中图分类号
学科分类号
摘要
The phenotypic classification of pancreatic neoplasms is based on their cellular lineage. Thus, tumors with a ductal, acinar, and endocrine phenotype can be distinguished. Most pancreatic neoplasms show a ductal phenotype and can be classified as ductal adenocarcinomas. Less common tumors with a ductal phenotype are the variants of ductal adenocarcinoma, intraductal papillary mucinous neoplasm (including colloid carcinoma), mucinous cystic neoplasm, medullary carcinoma, and other rare tumors. Ductal adenocarcinomas most likely develop from ductal proliferative lesions arising in the pancreatic duct system. A recently adopted classification system for these lesions distinguishes between three grades of pancreatic intraepithelial neoplasia (PanIN). Molecular studies have revealed that PanIN-2 and PanIN-3 lesion represent a distinct step toward invasive carcinoma. Copyright © 2004 by Current Science Inc.
引用
收藏
页码:111 / 118
页数:7
相关论文
共 69 条
[1]  
Kloppel G., Hruban R.H., Longnecker D.S., Et al., Ductal adenocarcinoma of the pancreas, Pathology and Genetics of Tumours of the Digestive System: WHO Classification of Tumours, pp. 221-230, (2000)
[2]  
Hruban R.H., Iacobuzio-Donahue C., Wilentz R.E., Et al., Molecular pathology of pancreatic cancer, Cancer J., 7, pp. 251-258, (2001)
[3]  
Moore P.S., Beghelli S., Scarpa A., Genetic profile of pancreatic tumours, Histopathology, 41, SUPPL. 2, pp. 277-281, (2002)
[4]  
Luttges J., Galehdari H., Brocker V., Et al., Allelic loss is often the first hit in the biallelic inactivation of the p53 and DPC4 genes during pancreatic carcinogenesis, Am. J. Pathol., 158, pp. 1677-1683, (2001)
[5]  
Hruban R.H., Adsay N.V., Albores-Saavedra J., Et al., Pancreatic intraepithelial neoplasia: A new nomenclature and classification system for pancreatic duct lesions, Am. J. Surg. Pathol., 25, pp. 579-586, (2001)
[6]  
Hruban R.H., Wilentz R.E., Kern S.E., Genetic progression in the pancreatic ducts, Am. J. Pathol., 156, pp. 1821-1825, (2000)
[7]  
Luttges J., Kloppel G., Differentiating pancreatic tumours by their mucin expression, Histopathology, 41, SUPPL. 2, pp. 267-294, (2002)
[8]  
Hiyama E., Kodama T., Shinbara K., Et al., Telomerase activity is detected in pancreatic cancer but not in benign tumors, Cancer Res., 57, pp. 326-331, (1997)
[9]  
Hahn S.A., Greenhalf B., Ellis I., Et al., BRCA2 germline mutations in familial pancreatic carcinoma, J. Natl. Cancer Inst., 95, pp. 214-221, (2003)
[10]  
Solcia E., Capella C., Kloppel G., Tumors of the pancreas, AFIP Atlas of Tumor Pathology, Third Series, Fascicle 20, (1997)