Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1994 Apr;47(4):372–374. doi: 10.1136/jcp.47.4.372

An unusual epithelial pleomorphic giant cell tumour of the pancreas with osteoclast-type cells.

A Martin 1, P Texier 1, J M Bahnini 1, J Diebold 1
PMCID: PMC501948  PMID: 7517956

Abstract

A case of giant cell tumour of the pancreas with a mixture of pleomorphic giant cells and osteoclast-like cells is described. This association is rare and its histogenesis has been debated. The presence of a small differentiated adenocarcinomatous area at the periphery of the tumour indicates an epithelial origin. Moreover, some pleomorphic cells were positive for keratin (KL1). The osteoclast-like cells strongly expressed CD68 (a marker of histiomonocytic lineage) and did not show proliferative activity. They probably correspond to an unusual reaction of the stroma. Their clinical importance in this type of tumour remains unknown.

Full text

PDF
372

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berendt R. C., Shnitka T. K., Wiens E., Manickavel V., Jewell L. D. The osteoclast-type giant cell tumor of the pancreas. Arch Pathol Lab Med. 1987 Jan;111(1):43–48. [PubMed] [Google Scholar]
  2. Fischer H. P., Altmannsberger M., Kracht J. Osteoclast-type giant cell tumour of the pancreas. Virchows Arch A Pathol Anat Histopathol. 1988;412(3):247–253. doi: 10.1007/BF00737149. [DOI] [PubMed] [Google Scholar]
  3. Jalloh S. S. Giant cell tumour (osteoclastoma) of the pancreas--an epithelial tumour probably of pancreatic acinar origin. J Clin Pathol. 1983 Oct;36(10):1171–1175. doi: 10.1136/jcp.36.10.1171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Jeffrey I., Crow J., Ellis B. W. Osteoclast-type giant cell tumour of the pancreas. J Clin Pathol. 1983 Oct;36(10):1165–1170. doi: 10.1136/jcp.36.10.1165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lewandrowski K. B., Weston L., Dickersin G. R., Rattner D. W., Compton C. C. Giant cell tumor of the pancreas of mixed osteoclastic and pleomorphic cell type: evidence for a histogenetic relationship and mesenchymal differentiation. Hum Pathol. 1990 Nov;21(11):1184–1187. doi: 10.1016/0046-8177(90)90157-z. [DOI] [PubMed] [Google Scholar]
  6. Posen J. A. Giant cell tumor of the pancreas of the osteoclastic type associated with a mucous secreting cystadenocarcinoma. Hum Pathol. 1981 Oct;12(10):944–947. doi: 10.1016/s0046-8177(81)80203-1. [DOI] [PubMed] [Google Scholar]
  7. Rosai J. Carcinoma of pancreas simulating giant cell tumor of bone. Electron-microscopic evidence of its acinar cell origin. Cancer. 1968 Aug;22(2):333–344. doi: 10.1002/1097-0142(196808)22:2<333::aid-cncr2820220210>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
  8. Suster S., Phillips M., Robinson M. J. Malignant fibrous histiocytoma (giant cell type) of the pancreas. A distinctive variant of osteoclast-type giant cell tumor of the pancreas. Cancer. 1989 Dec 1;64(11):2303–2308. doi: 10.1002/1097-0142(19891201)64:11<2303::aid-cncr2820641120>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
  9. Trepeta R. W., Mathur B., Lagin S., LiVolsi V. A. Giant cell tumor ("osteoclastoma") of the pancreas: a tumor of epithelial origin. Cancer. 1981 Nov 1;48(9):2022–2028. doi: 10.1002/1097-0142(19811101)48:9<2022::aid-cncr2820480919>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES