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Synchronous pancreatic tumors in a patient with history of Wilms tumor: A case of pancreatic adenocarcinoma and lipid‐rich neuroendocrine tumor diagnosed by cytopathology
Author(s) -
Huang Huiya,
Giorgadze Tamara
Publication year - 2018
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.23978
Subject(s) - medicine , cytopathology , pancreas , neuroendocrine tumors , adenocarcinoma , pancreatic cancer , pathology , wilms' tumor , pancreatic tumor , radiology , cancer , cytology
Synchronous tumors represent a very small portion of pancreatic tumors. Although there is a higher incidence of secondary malignant neoplasms (SMN) in patients with history of Wilms tumor (WT), pancreatic tumors are very infrequent SMNs in this population. We report the first case of synchronous pancreatic tumors in a patient with history of WT. Two separated pancreatic lesions were identified by abdominal computerized tomography (CT) scan. Fine‐needle aspiration of both lesions was performed for cytopathology examination. A pancreatic adenocarcinoma was diagnosed in the head of pancreas, and the pancreatic body lesion was found to be a neuroendocrine tumor (NET). The NET had characteristic vacuolated lipid‐rich cytoplasm. Further molecular testing was done on both tumors, but no common cancer‐associated mutation was found.