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KMID : 0357920030370040270
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Korean Journal of Pathology
2003 Volume.37 No. 4 p.270 ~ p.278
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Prevalence and Clinicopathologic Features of Mucinous Cystic Tumor and Intraductal Papillary Mucinous Tumor of Pancreas in Korea
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Sohn Jin-Hee
Kim Kyung-Me
Chae Seoung-Wan
Kim Woo-Ho
Moon Woo-Sung
Park Young-Nyun
Park Cheol-Keun
Yu Eun-Sil
Chang Hee-Kyung
Jung Jong-Jae
Jeong Jin-Sook
Jin So-Young
Choi Jong-Sang
Kang Dae-Young
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Abstract
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Background: Mucin producing cystic neoplasms, such as mucinous cystic tumor(MCT) and intraductal papillary mucinous tumor(IPMT) of the pancreas, are uncommon but become increasing in their incidences. The pathologic classification and biologic potential of these neoplasms remain the subject of controversy.
Methods: The Gastrointestinal Pathology Study Group of the Korean Society of Pathologists analyzed the clinicopathologic characteristics of 85 cases of MCT and 72 cases of IPMT and examined the expression patterns of p53, CEA and MUC1.
Results: IPMT was located largely in the head, and showed connection with the main pancreatic duct (MPD, 68.1%), no ovarian-like stroma (0/72), and presence of intervening intratumoral normal or atrophic parenchyma. On the other hand, MCT was located largely in the tail(73%), and showed common ovarian-like stroma (66/80), rate connection with the MPD(7/85) and no intervening pancreatic parenchyma. CEA and p53 immunoexpressions were significantly increased from adenoma though borderline to carcinoma, but MUC 1 was expressed only in the invasive carcinoma among cases of MCT and IPMT.
Conclusions: The tumor location, ovarian-like stroma, connection with the MPD and intratumoral intervening nonneoplastic tissue were helpful in the differential diagnosis between IPMT and MCT. CEA and p53 expressions can be indicators of malignancy, while MUC 1 expression can indicate invasion.
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KEYWORD
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Mucinous Cystic Tumor, Intraductal Papillary Mucinous Tumor, Pancreas
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