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논문KCI 등재

Micropapillary Carcinoma of the Gallbladder

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초록

Micropapillary carcinoma (MPC) is a rare variant of carcinoma, and it is composed of small papillary neoplastic cell clusters lying within clear lacunar spaces that simulate lymphovascular channels. This tumor has been described in the several organs such as the breast, lung, urinary bladder and salivary gland and it is known to be frequently associated with a high incidence of lymphatic invasion and metastasis in lymph nodes, resulting in poor clinical outcome. We present here a case of MPC in the gall bladder, and this type of case has not been previously described. Histologically, the tumor was composed of micropapillary carcinoma with tight clusters of micropapillary aggregates in the background of tubular adenoma. Focal invasive micropapillary components were also noted in the submuscular connective tissue. A metastatic lesion in a regional lymph node also showed an entirely micropapillary pattern.

Abstract

Micropapillary carcinoma (MPC) is a rare variant of carcinoma, and it is composed of small papillary neoplastic cell clusters lying within clear lacunar spaces that simulate lymphovascular channels. This tumor has been described in the several organs such as the breast, lung, urinary bladder and salivary gland and it is known to be frequently associated with a high incidence of lymphatic invasion and metastasis in lymph nodes, resulting in poor clinical outcome. We present here a case of MPC in the gall bladder, and this type of case has not been previously described. Histologically, the tumor was composed of micropapillary carcinoma with tight clusters of micropapillary aggregates in the background of tubular adenoma. Focal invasive micropapillary components were also noted in the submuscular connective tissue. A metastatic lesion in a regional lymph node also showed an entirely micropapillary pattern.

참고문헌 (10)

  1. Kim MJ, "Invasive colorectal micropapillary carcinoma: an aggressive variant of adenocarcinoma", Hum Pathol, 37, pp.809~815 (2006)
  2. Sakamoto K, "Primary invasive micropapillary carcinoma of the colon", Histopathology, 47, pp.479~484 (2005)
  3. Siriaunkgul S, "Invasive micropapillary carcinoma of the breast", Mod Pathol, 6, pp.660~662 (1993)
  4. Amin MB, "Micropapillary component in lung adenocarcinoma: a distinctive histologic feature with possible prognostic significance", Am J Surg Pathol, 26, pp.358~364 (2002)
  5. Hoshi R, "Micropapillary clusters in early-stage lung adenocarcinomas: a distinct cytologic sign of significantly poor prognosis", Cancer, 102, pp.81~86 (2004)
  6. Amin MB, "Micropapillary variant of transitional cell carcinoma of the urinary bladder. Histologic pattern resembling ovarian papillary serous carcinoma", Am J Surg Pathol, 18, pp.1224~1232 (1994)
  7. Johansson SL, "Micropapillary bladder carcinoma: a clinicopathological study of 20 cases", J Urol, 161, pp.1798~1802 (1999)
  8. Oh YL, "Micropapillary variant of transitional cell carcinoma of the ureter", Pathol Int, 50, pp.52~56 (2000)
  9. Nagao T, "Invasive micropapillary salivary duct carcinoma: a distinct histologic variant with biologic significance", Am J Surg Pathol, 28, pp.319~326 (2004)
  10. Nassar H, "Pathogenesis of invasive micropapillary carcinoma: role of MUC1 glycoprotein", Mod Pathol, 17, pp.1045~1050 (2004)

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