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The Korean Journal of Cytopathology 1998;9(1): 89-94.
Fine Needle Aspiration Cytology of Osteoclastic Giant Cell Tumor of the Pancreas.
Sun Hee Sung, Woon Sup Han
Department of Pathology, Ewha Womans University, College of Medicine.
A case of fine needle aspiration cytology of an osteoclastic giant cell tumor of pancreas, which is an uncommon variant of ductal adenocarcinoma, is described. Aspirated tumor cells were characterized by three populations: (1) bland osteoclast like giant cells with multiple small, round nuclei with distinct nucleoli, and abundant cytoplasm, (2) individually scattered or loosely clustered medium sized mononuclear tumor cells, having fine chromatin, smooth nuclear membrane, often prominent nucleoli, and high N/C ratio, (3) bland or atypical spindle shaped cells. Osteoid like lacy material was also seen on cell block section. The immunohistochemical studies using paraffin embedded cell block section showed positivities for vimentin and lysozyme in both giant and mononuclear tumor cells. However, they were negative for cytokeratin, epithelial membrane antigen, S-100 protein, carcinoembryonic antigen, and p53.
Key Words: Osteoclastic giant cell tumor of pancreas; Fine needle aspiration cytology