[Autopsy of invasive ductal pancreatic carcinoma that transformed into a tumor producing granulocyte colony-stimulating factor]

Nihon Shokakibyo Gakkai Zasshi. 2017;114(5):854-864. doi: 10.11405/nisshoshi.114.854.
[Article in Japanese]

Abstract

A 64-year-old woman was diagnosed with unresectable pancreatic cancer and underwent chemotherapy. However, the number of leukocytes significantly increased as the disease progressed. Serum G-CSF values also increased, and she eventually died on day 511 after diagnosis. Immediately after autopsy, immunohistochemical staining with an anti-G-CSF monoclonal antibody was positive in the poorly differentiated adenocarcinoma area of the primary pancreatic cancer and liver metastatic foci, but negative in the well-differentiated tubular adenocarcinoma part of the primary pancreatic cancer. During de-differentiation, invasive pancreatic ductal carcinoma appeared to have changed to a tumor that produced G-CSF.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Autopsy
  • Carcinoma, Pancreatic Ductal / diagnosis*
  • Carcinoma, Pancreatic Ductal / surgery
  • Female
  • Granulocyte Colony-Stimulating Factor / metabolism*
  • Humans
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / surgery

Substances

  • Granulocyte Colony-Stimulating Factor