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Expression of progesterone receptors in solid-cystic tumour of the pancreas

A clinicopathological and immunohistochemical study of ten cases

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Abstract

A role for sex hormones in the pathogenesis of solid-cystic tumour (SCT) of the pancreas is suggested by its predilection for young fertile women. Controversial data have been provided for the presence of progesterone receptors (PR) and/or oestrogen receptors (ER) in SCT. We report the immunohistochemical detection of PR in ten cases of SCT. Eight were from young women. The remaining two were from a post-menopausal woman and a young boy. All cases showed PR immunoreactivity in the large majority of neoplastic cells, whereas none exhibited ER positivity. In one tumour two types of cell populations were noted, the more anaplastic invasivetype being PR negative, whereas the more typical was PR positive. PR immunoreactivity in the absence of ER may simply reflect a lower sensitivity of ER antibody failing to reveal the biochemically detectable ER, or that the PR in cells of SCT are constitutively synthesized in an oestrogen-independent way, as in T47D breast carcinoma cell line, meningioma cells and some gastric cancer cells. Our findings support the hypothesis of a possible pathogenetic role of progesterone in SCT, independent of the patient's sex and age.

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References

  • Bigotti G, Coli A, Di Filippo F, Capelli A (1989) Papillary-cystic neoplasm of pancreas: a rare entity capable of neuroendocrine differentiation. J Exp Clin Cancer Res 8:39–46

    Google Scholar 

  • Bombi JA, Milla A, Badal JM, Piulachs J, Estape J, Cardesa A (1984) Papillary-cystic tumor of the pancreas: report of two cases and review of the literature. Cancer 54:780–784

    Google Scholar 

  • Boor PJ, Swanson MR (1979) Papillary-cystic neoplasm of the pancreas. Am J Surg Pathol 3:69–75

    Google Scholar 

  • Carbone A, Ranelletti F, Rinelli A, Vecchio F, Lauriola L, Piantelli M, Capelli A (1989) Type II estrogen receptors in the papillary cystic tumor of the pancreas. Am J Clin Pathol 92:572–576

    Google Scholar 

  • Choi BI, Kim KW, Man MC, Kim YI, Kim C-W (1988) Solid and papillary epithelial neoplasms of the pancreas: CT findings. Radiology 166:413–416

    Google Scholar 

  • Compagno J, Oertel JE, Kremzar M (1979) Solid and papillary epithelial neoplasm of the pancreas, probably of small duct origin: a clinicopathologic study of 52 cases. Lab Invest 40:248–249

    Google Scholar 

  • Cubilla AL, Fitzgerald PJ (1979) Classification of pancreatic cancer (nonendocrine). Mayo Clin Proc 54:449–458

    Google Scholar 

  • De Lagausie P, Maillet B, Viala T, Sudan N, Monges G (1988) Un cas de tumour papillaire du pancréas. Gastroenterol Clin Biol 12:965–967

    Google Scholar 

  • Doglioni C, Gambacorta M, Zamboni G, Coggi G, Viale G (1990) Immunocytochemical localization of progesterone receptors in endocrine cells of the human pancreas. Am J Pathol 137:999–1005

    Google Scholar 

  • Frantz VK (1959) Tumors of the pancreas. In: Atlas of tumor pathology, section VII, fascicles 27, 28. Armed Forces Institute of Pathology, Washington, DC, pp 32–33

    Google Scholar 

  • Friedman AC, Lichtestein JE, Fischman EK, Oertel JE, Dachman AH, Siegelman SS (1985) Solid and papillary epithelial neoplasm of the pancreas. Radiology 154:333–337

    Google Scholar 

  • Green GL, Press MF (1987) Immunochemical evaluation of estrogen receptor and progesterone receptor in breast cancer. In: Ceriani RL (ed) Immunological approaches to the diagnosis and therapy of breast cancer. Plenum Press, New York, pp 119–136

    Google Scholar 

  • Hamoudi AB, Misugi K, Grosfeld JL, Reiner CB (1970) Papillary epithelial neoplasm of pancreas in a child. Cancer 26:1126–1134

    Google Scholar 

  • Hiort O, Kwan PWL, DeLellis RA (1988) Immunohistochemistry of estrogen receptor protein in paraffin sections Am J Clin Pathol 90:559–563

    Google Scholar 

  • Horwitz KB, Mochus MB, Lessey BA (1982) Variant T47D human breast cancer cells with high progesterone-receptor level despite estrogen and antiestrogen resistance. Cell 28:633–642

    Google Scholar 

  • Ishikawa O, Ishiguro S, Ohhigashi H, Sasaki Y, Yasuda T, Imaoka S, Iwanaga T, Nakaizumi A, Fujita M, Wada A (1990) Solid and papillary neoplasm arising from an ectopic pancreas in the mesocolon. Am J Gastroenterol 85:597–601

    Google Scholar 

  • Kim YI, Kim ST, Lee GK, Choi BI (1990) Papillary cystic tumor of the liver. A case report with ultrastructural observation. Cancer 65:2740–2746

    Google Scholar 

  • Klöppel G, Maurer R, Hofmann E, Luthold K, Oscarson J, Forsby N, Ihse I, Ljungberg O, Heitz PU (1991) Solid-cystic (papillarycystic) tumours within and outside the pancreas in men: report of two cases. Virchows Arch [A] 418:179–183

    Google Scholar 

  • Ladanyi M, Mulay S, Arseneau J, Bettez P (1987) Estrogen and progesterone receptor determination in the papillary cystic neoplasm of the pancreas. Cancer 60:1604–1611

    Google Scholar 

  • Leavitt WW, Chen TJ, Allen TC (1977) Regulation of progesterone receptor formation by estrogen action. Ann NY Acad Sci 286:210–225

    Google Scholar 

  • Lieber MR, Lack EE, Robert JR, Patterson K, Restrepo C, Solomon D, Chandra R, Triche TJ (1987) Solid and papillary epithelial neoplasm of the pancreas. An ultrastuctural and immunohistochemical study of six cases. Am J Surg Pathol 11:185–93

    Google Scholar 

  • Matsunou H, Konishi F, Yamamichi N, Takayanagi N, Mukai M (1990) Solid, infiltrating variety of papillary cystic neoplasm of the pancreas. Cancer 65:2747–2757

    Google Scholar 

  • Miettinen M, Partanen S, Franki O, Kivilaakso R (1987) Papillary cystic tumor of the pancreas. An analysis of cellular differentiation by electron microscopy and immunohistochemistry. Am J Surg Pathol 11:855–865

    Google Scholar 

  • Morohoshi T, Held G, Klöppel G (1983) Exocrine pancreatic tumours and their histological classification. A study based on 167 autopsy and 97 surgical cases. Histopathology 7:645–661

    Google Scholar 

  • Morohoshi T, Kanda M, Horie A, Chott A, Dreyer T, Klöppel G, Heitz PU (1987) Immunocytochemical markers of uncommon pancreatic tumors. Cancer 59:739–747

    Google Scholar 

  • Perrot-Applanat M, Logeat F, Groyer-Picard MT, Milgrom E (1985) Immunocytochemical study of mammalian progesterone receptors using monoclonal antibodies. Endocrinology 116:1473–1483

    Google Scholar 

  • Pettinato G, Manivel C, Ravetto C, Terracciano LM, Gould EW, Di Tuoro A, Jaszcz W, Albores-Saavedra J (1992) Papillary cystic tumor of the pancreas. A clinicopathologic study of 20 cases with cytological, immunohistochemical, ultrastructural, and flow cytometric observations, and a review of the literature. Am J Clin Pathol 98:478–488

    Google Scholar 

  • Schlosnagle DC, Campbell WG (1981) The papillary and cystic neoplasm of the pancreas: a report of two cases with electron microscopy, one containing neurosecretory granules. Cancer 47:2603–2610

    Google Scholar 

  • Sclafani LM, Reiter VE, Coit DG, Brennan MF (1991) The malignant nature of papillary and cystic neoplasms of the pancreas. Cancer 68:153–158

    Google Scholar 

  • Stoemmer P, Kraus J, Stolte M, Giedl J (1991) Solid and cystic pancreatic tumors. Clinical, histochemical, and electron microscopic features in ten cases. Cancer 67:1635–1641

    Google Scholar 

  • Stojkovic RR, Javancevic M, Santel DJ, Grcevic N, Gamulin S (1990) Sex steroid receptors in intracranial tumors. Cancer 65:1968–1970

    Google Scholar 

  • Tilzer LL, Plapp FV, Evans JP, Stone D, Alward K (1982) Steroid receptor proteins in human meningiomas. Cancer 49:633–636

    Google Scholar 

  • Viale G, Doglioni C, Gambacorta M, Zamboni G, Coggi G, Bordi C (1992) Progesterone receptor immunoreactivity in pancreatic endocrine tumors. An immunocytochemical study of 156 neuroendocrine tumors of the pancreas, of the gastrointestinal and the respiratory tracts, and of the skin. Cancer 70:2268–2277

    Google Scholar 

  • Vu Hai MT, Jolivet A, Ravet V, Lorenzo F, Perrot-Applanat M, Citerine M, Milgrom E (1989) Novel monoclonal antibodies against human uterine progesterone receptor: mapping of receptor immunogenic domains. Biochem J 260:371–376

    Google Scholar 

  • Warshaw AL, Compton CC, Lewandrowski K, Cardenose G, Mueller P (1990) Cystic tumor of the pancreas. New clinical, radiologic, and pathologic observations in 67 patients. Ann Surg 212:432–445

    Google Scholar 

  • Wrba F, Cott A, Ludvik B, Schratter M, Sponas J, Reiner A, Schernthaner G, Krisch K (1988) Solid and cystic tumour of the pancreas; a hormonal-dependent neoplasm? Histopathology 12:338–340

    Google Scholar 

  • Wu C-W, Chi C-W, Chang T-J, Lui W-Y, Peng F-K (1990) Sex hormone receptors in gastric cancer. Cancer 65:1396–1400

    Google Scholar 

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Zamboni, G., Bonetti, F., Scarpa, A. et al. Expression of progesterone receptors in solid-cystic tumour of the pancreas. Vichows Archiv A Pathol Anat 423, 425–431 (1993). https://doi.org/10.1007/BF01606531

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