An autopsy case of adenosquamous carcinoma of the pancreas producing granulocyte-colony stimulating factor (G-CSF)

  • AKAIKE Hidenori
    First Department of Surgery, University of Yamanashi, School of Medicine
  • ITAKURA Jun
    First Department of Surgery, University of Yamanashi, School of Medicine
  • OHSAWA Toshiya
    First Department of Surgery, University of Yamanashi, School of Medicine
  • FUJII Hideki
    First Department of Surgery, University of Yamanashi, School of Medicine
  • NAKAZAWA Tadao
    Department of Human Pathology, University of Yamanashi, School of Medicine
  • MURATA Shinichi
    Department of Human Pathology, University of Yamanashi, School of Medicine
  • KATOH Ryouhei
    Department of Human Pathology, University of Yamanashi, School of Medicine

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Other Title
  • Granulocyte-colony stimulating factor(G-CSF)産生膵腺扁平上皮癌の1剖検例

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Abstract

A 78-year-old woman visited the hospital because of high fever. The peripheral leukocyte count was very high. An abdominal CT revealed tumors in the pancreatic tail and both lobes of the liver. Liver abscess was suspected for persistent fever, but pus and bacteria were not found from puncture and drainage of the liver tumor. On the other hand, adenosquamous carcinoma was revealed in this site. According to these findings the patient was diagnosed as adenosquamous carcinoma of the pancreas with multiple liver metastases. Systemic chemotherapy was scheduled but it could not be performed because infectious disease was suspected by blood culture. The patient died 41 days after admission. High serum levels of granulocyte-colony stimulating factor(G-CSF) persisted and immunohistochemical staining of the autopsy section showed that the pancreatic cancer cells were positive for G-CSF only in the adenocarcinoma portion. The final diagnosis was adenosquamous carcinoma of the pancreas producing G-CSF.<br>

Journal

  • Suizo

    Suizo 23 (4), 494-500, 2008

    Japan Pancreas Society

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