림프절 전이를 동반한 췌소도세포종 1예의 세침흡인 생검소견

Cytologic Findings of Pancreatic Islet Cell Tumor with Lymph Node Metastasis

  • 김의정 (연세대학교 의과대학 병리학교실) ;
  • 최윤정 (연세대학교 의과대학 병리학교실) ;
  • 김규래 (차병원 해부병리과) ;
  • 정우희 (연세대학교 의과대학 병리학교실) ;
  • 이광길 (연세대학교 의과대학 병리학교실)
  • Kim, Yee-Jeong (Department of Pathology, Yonsei University College of Medicine) ;
  • Choi, Yoon-Jung (Department of Pathology, Yonsei University College of Medicine) ;
  • Kim, Kyu-Rae (Cha Women's Hospital) ;
  • Jung, Woo-Hee (Department of Pathology, Yonsei University College of Medicine) ;
  • Lee, Kwang-Gil (Department of Pathology, Yonsei University College of Medicine)
  • 발행 : 1992.12.30

초록

Islet cell neoplasms (ICNs) of pancreas are uncommon, and the cytologic features of ICN are not well delineated. We report a case of islet cell tumor with lymph node metastasis, describing the cytologic, histologic, and immunohistochemical findings. A 40-year-old woman was admitted due to upper gastrointestinal bleeding of 2 days' duration. Computed tomography of the abdomen showed a diffusely infiltrating bulky mass in the body and tail of the pancreas. The fine needle aspirate showed moderate to high cellularity, monotonous cell population, single ceil predominance over small cell clusters, and eccentrically located nuclei. Although the definite diagnosis of ICN on the cytologic basis is difficult, the cytomorphologic features are sufficiently distinctive to suggest the diagnosis.

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