Expression of Markers of Hepatocellular Differentiation in Pancreatic Acinar Cell Neoplasms A Potential Diagnostic Pitfall

被引:17
作者
Askan, Gokce [1 ]
Deshpande, Vikram [2 ]
Klimstra, David S. [1 ]
Adsay, Volkan [3 ]
Sigel, Carlie [1 ]
Shia, Jinru [1 ]
Basturk, Olca [1 ]
机构
[1] Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10065 USA
[2] Massachusetts Gen Hosp, Boston, MA 02114 USA
[3] Emory Univ, Atlanta, GA 30322 USA
关键词
Pancreas; Acinar cell carcinoma; Hepatocellular carcinoma; Arginase; 1; Glypican; 3; Albumin ISH; IN-SITU-HYBRIDIZATION; ALBUMIN MESSENGER-RNA; GLYPICAN-3; EXPRESSION; ALPHA-FETOPROTEIN; METASTATIC CARCINOMA; ONCOFETAL PROTEIN; SENSITIVE MARKER; HEP PAR-1; LIVER; TUMORS;
D O I
10.1093/ajcp/aqw096
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Objectives: Pancreatic acinar cell carcinoma (ACC) is a rare tumor that frequently metastasizes to the liver and may present a diagnostic challenge due to its morphologic similarity to hepatocellular carcinoma. We investigated (x-fetoprotein (AFP), hepatocyte paraffin antigen 1 (HepPar 1), glypican 3, arginase 1, and albumin messenger RNA (mRNA) in situ hybridization (ISH) in pancreatic neoplasms with ACC differentiation to assess their diagnostic value. Methods: AFP, HepPar 1, glypican 3, and arginase 1 immunohistochemical staining was performed on 28 ACCs using a tissue microarray. Albumin mRNA ISH was performed on full-faced sections. Results: Fifteen tumors were positive for at least one marker. Glypican 3 was positive in seven of 28, AFP in five 28, and albumin mRNA ISH in five of 20. None expressed arginase 1. Conclusions: Hepatocellular differentiation markers, including albumin mRNA ISH, may be positive in ACC, but arginase 1 appears to be uniformly negative. Thus, its use may improve the accuracy in distinguishing these neoplasms from hepatocellular carcinoma. If ACC diagnosis is considered, acinar differentiation can be reliably demonstrated by trypsin/chymotrypsin.
引用
收藏
页码:163 / 169
页数:7
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