Download PDF - The Pancreapedia
Download PDF - The Pancreapedia
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Figure 37. Patterns of islet cell tumors in hamster. a) Cystic islet cell adenoma, X 32. b) cystic-hemorrhagic<br />
islet cell adenoma, X 32. c) Partial replacement of islet cells by large pleomorphic cells, X 65. d) Islet cell<br />
tumor with sarcoma-like pattern and apparent minimal invasion (top), X 65.<br />
been produced by intravenous inoculations of BK<br />
virus to 22-day-old Syrian golden hamsters 137 .<br />
In all hamster strains, the latency of spontaneous<br />
islet cell tumors is long but generally shorter in<br />
females (80 to 90 weeks) than in males (over 100<br />
weeks). Islet cell carcinomas generally occur, but<br />
not as a rule, in older animals. Under<br />
experimental conditions, however, these<br />
neoplasms develop as early as six months of<br />
age 137, 138 .<br />
Islet cell carcinomas are usually locally invasive<br />
and occasionally metastasize into the regional<br />
lymph nodes and liver. We observed splenic vein<br />
thrombosis in the immediate proximity of a large<br />
islet cell carcinoma. Virus-induced islet cell<br />
carcinomas metastasized more frequently (44%)<br />
and primarily into the liver 137, 138 .<br />
6a. Comparative spontaneous pancreatic<br />
diseases<br />
To evaluate and compare the rate, extend and<br />
types of pancreatic lesions that occur naturally in<br />
hamsters and humans, we examined the<br />
34<br />
pancreas of 83 military veterans aged 35-88 years<br />
soon after autopsy by serial or step sectioning of<br />
tissues 141 . Two patients had clinically known<br />
primary and three secondary (metastatic)<br />
pancreatic cancer. Hyperplasia of the ductal and<br />
ductular epithelium was found in 57% and 39%,<br />
respectively, squamous cell metaplasia of the<br />
ductules in 48%, islet cell adenoma in 10%, and<br />
mixed ductular-insular adenoma in 3% of the<br />
cases. Peri-insular and intra-insular ductules,<br />
similar to those seen in hamsters, were noted in<br />
areas of acinar cell atrophy. A microscopic (early)<br />
adenocarcinoma and adenosquamous cell<br />
carcinoma were found in two cases, one ductal<br />
carcinoma in situ and seven foci of atypical<br />
ductular proliferation, three of which had<br />
pancreatic cancer and the remaining four had<br />
cancer of other sites (ethmoid, ear, colon,<br />
prostate). A patient with lung cancer was found to<br />
have a primary pancreatic cancer with metastases<br />
into the lung. Hence the incidence of<br />
“spontaneous” malignant lesions of the pancreas<br />
in this series was 10%.