Table 3.
A comparison of clinicopathological characteristics of resected undifferentiated carcinoma with osteoclastic giant cells of the pancreas between short and long-term survivor.
| Short-term survivor n=9 |
Long-term survivor n=9 |
p-value | ||
|---|---|---|---|---|
| Age (year) | ||||
| mean±SEM, year (range) | 61.1±5.3 (29–86) | 53.7±5.4 (35–78) | 0.4522 | |
| Gender | ||||
| Female | 5 (56%) | 6 (67%) | 0.6287 | |
| Distribution of neoplasm | ||||
| Head | 5 (56%) | 8 (89%) | 0.1144 | |
| Size of neoplasm | ||||
| mean±SEM, cm (range) | 4.1±0.9 (0.6–10.0) | 6.8±1.2 (2.5–12.0) | 0.1110 | |
| Lymphovascular invasion | ||||
| Positive | 5/8 (63%) | 3/7 (43%) | 0.4468 | |
| Perineural invasion | ||||
| Positive | 4/8 (50%) | 1/8 (13%) | 0.1056 | |
| Lymph node metastasis | ||||
| Positive | 1/6 (17%) | 0/8 (0%) | 0.2308 | |
| Surgical margin | ||||
| Positive | 0/8 (0%) | 2/8 (25%) | 0.1306 | |
| Intraductal/cystic growth appearance | ||||
| Presence | 7 (78%) | 6 (67%) | 0.5987 | |
| Osteoid | ||||
| Presence | 4 (44%) | 3 (33%) | 0.6287 | |
| Ki-67 index | ||||
| HSCs, mean±SEM, % (range) | 19.0±4.6* (4.7–34.5) | 23.3±7.9** (5.6–44.1) | 1.0000 | |
| PCs, mean±SEM, % (range) | 26.3±4.5* (15.0–45.2) | 31.6±4.3** (25.5–44.4) | 0.5083 | |
| p53 positivity | ||||
| HSCs, >50% | 3/7 | 3/4 | 0.3031 | |
| PCs, >50% | 3/7 | 1/4 | 0.5537 | |
| Histologic grading | ||||
| Grade I+II | 4 | 7 | ||
| Grade III+IV | 5 | 2 | 0.1469 | |
| Component of DA | ||||
| No (0%) | 0 | 2 | ||
| Limited (0<, ≦10%) | 6 | 5 | ||
| Focal (10<, <50%) | 1 | 2 | ||
| Predominantly (≧50%) | 2 | 0 | 0.2191 | |
| Associated tumoral intraepithelial lesions | ||||
| HG-PanIN | 5 (56%) | 6 (75%) | 0.4024 | |
| MCN | 1 (11%) | 0 (0%) | 0.3035 | |
| IPMN | 1 (11%) | 0 (0%) | 0.3035 | |
Short-term survivor is defined as who died within 3 years after surgery. Long-term survivor is defined as who was alive after 5 years after surgery. Cases with less than 3 years follow up period were excluded. HSCs: Histocyte-like sarcomatoid carcinoma cells, PCs: Pleomorphic giant carcinoma cells. DA: ductal adenocarcinoma, HG-PanIN: high-grade pancreatic intraepithelial neoplasia, MCN: mucinous cystic neoplasm, IPMN: intraductal papillary mucinous neoplasm. Statistical analyzed by
Mann-Whitney U test in continuous variables and Fisher’s exact test in no continuous variables.
n=7,
n=4.