Studies into gastrinomas and combined carcinomatous carcinoid tumors. Optical light- and electron microscopy and immunohistochemistry

Zentralbl Allg Pathol. 1989;135(7):657-65.

Abstract

The clinical, microscopic, immunohistochemical and ultrastructural features of 7 gastrinomas and 1 combined carcinoma-carcinoid tumor were evaluated. The tumors were located in the pancreas or duodenal wall in 6 cases, and on extragastro-enteropancreatic sites in 2 (liver or peripancreatic lymph node). All patients had the Zollinger-Ellison syndrome, 3 of them with additional bleeding and 1 with diarrhea. One patient with gastrinoma had additional tumors characteristic of the MEN-I syndrome. Immunohistochemistry showed gastrin and neuron-specific enolase-positivity in all of the tumors. Somatostatin was found in 4 cases, and single cell glucagon, pancreatic polypeptide. S-100 protein, keratin as well as carcino-embryonic antigen positivity in another few. Additional hormone production did not appear to be connected with biological behaviour of the tumors or with the clinical symptoms.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Carcinoembryonic Antigen / analysis
  • Carcinoid Tumor / analysis
  • Carcinoid Tumor / pathology*
  • Carcinoid Tumor / ultrastructure
  • Duodenal Neoplasms / analysis
  • Duodenal Neoplasms / pathology*
  • Duodenal Neoplasms / ultrastructure
  • Female
  • Gastrins / analysis
  • Glucagon / analysis
  • Humans
  • Immunohistochemistry
  • Keratins / analysis
  • Male
  • Microscopy, Electron
  • Middle Aged
  • Pancreatic Neoplasms / analysis
  • Pancreatic Neoplasms / pathology*
  • Pancreatic Neoplasms / ultrastructure
  • Pancreatic Polypeptide / analysis
  • Phosphopyruvate Hydratase / analysis
  • S100 Proteins / analysis
  • Somatostatin / analysis
  • Zollinger-Ellison Syndrome / pathology*

Substances

  • Carcinoembryonic Antigen
  • Gastrins
  • S100 Proteins
  • Somatostatin
  • Pancreatic Polypeptide
  • Keratins
  • Glucagon
  • Phosphopyruvate Hydratase