Metastatic Pancreatic Carcinoma Presenting as Colon Carcinoma
Metastatic Pancreatic Carcinoma Presenting as Colon Carcinoma
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DOI：
10.1097/smj.0b013e3181a8fad7
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发表时间：
2009-07-01
影响因子：
1.1
通讯作者：
Haque, Salima
中科院分区：
文献类型：
--
作者：
Bellows, Charles;Gage, Thomas;Haque, Salima
确定低分化腺癌的起源仍然是病理学家的一个挑战。本文报道了一组特异性免疫组化染色用于确定结肠肿瘤原发部位的方法。一名45岁男性因腺癌行右半结肠切除术。免疫组织化学染色证实该病变是原发性胰腺腺癌的转移瘤，这是一种不寻常的扩散方式。该病例强调了免疫组化在确定病变的原发来源，从而进行适当的治疗和分期方面的重要作用。
Determining the origin of poorly differentiated adenocarcinomas remains a challenge for the pathologist. This manuscript reports the use of a panel of specific immunohistochemical stains to determine the primary site of a tumor in the colon. A 45-year-old man had a right hemicolectomy for adenocarcinoma. Immunohistochemical staining documented that the lesion was a metastasis from a primary pancreatic adenocarcinoma-an unusual pattern of spread. The case emphasizes the important use of immunohistochemistry in identifying the primary source of lesions, allowing for appropriate treatment and staging.