Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report

Branislava Ranković; Clara Limbaeck-Stokin; Mihajlo Đokić; Dragoje Stanisavljević; Metka Volavšek

doi:10.5114/pjp.2017.67622

eISSN: 2084-9869
ISSN: 1233-9687

Polish Journal of Pathology

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abstract:

Case report

Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report

Branislava Ranković

,

Clara Limbaeck-Stokin

,

Mihajlo Đokić

,

Dragoje Stanisavljević

,

Metka Volavšek

Pol J Pathol 2017; 68 (1): 86-91

DOI: https://doi.org/10.5114/pjp.2017.67622

Online publish date: 2017/05/23

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AMA

Ranković B, Limbaeck-Stokin C, Đokić M, Stanisavljević D, Volavšek M. Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report. Polish Journal of Pathology. 2017;68(1):86-91. doi:10.5114/pjp.2017.67622.

APA

Ranković, B., Limbaeck-Stokin, C., Đokić, M., Stanisavljević, D.,  & Volavšek, M. (2017). Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report. Polish Journal of Pathology, 68(1), 86-91. https://doi.org/10.5114/pjp.2017.67622

Chicago

Ranković, Branislava, Clara Limbaeck-Stokin, Mihajlo Đokić, Dragoje Stanisavljević,  and Metka Volavšek. 2017. "Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report". Polish Journal of Pathology 68 (1): 86-91. doi:10.5114/pjp.2017.67622.

Harvard

Ranković, B., Limbaeck-Stokin, C., Đokić, M., Stanisavljević, D.,  and Volavšek, M. (2017). Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report. Polish Journal of Pathology, 68(1), pp.86-91. https://doi.org/10.5114/pjp.2017.67622

MLA

Ranković, Branislava et al. "Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report." Polish Journal of Pathology, vol. 68, no. 1, 2017, pp. 86-91. doi:10.5114/pjp.2017.67622.

Vancouver

Ranković B, Limbaeck-Stokin C, Đokić M, Stanisavljević D, Volavšek M. Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report. Polish Journal of Pathology. 2017;68(1):86-91. doi:10.5114/pjp.2017.67622.

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Mixed acinar-ductal carcinoma is rare among pancreatic cancers, as is duodenal involvement in follicular lymphoma (FL). Although usually a systemic disease, primary FL of the duodenum occurs, with superficial involvement of the intestinal wall and low risk of progression.

We report on a unique case of mixed ductal-acinar carcinoma of the pancreatic head accompanied by low-grade duodenal FL and autoimmune pancreatitis-like changes in adjacent pancreatic parenchyma.

To our knowledge this is the first report of concomitant pancreatic mixed acinar-ductal carcinoma and duodenal FL. Clinico-pathological features of this unusual case, possible relationship between the entities and differential diagnosis are discussed.

keywords:

Simultaneous occurrence of pancreatic mixed acinar-ductal adenocarcinoma and primary follicular lymphoma of the duodenum, accompanied by increased number of IgG4 plasma cells in tumor-free parenchyma as concomitant IgG4-related disease or reaction to tumor? A case report

Branislava Ranković , Clara Limbaeck-Stokin , Mihajlo Đokić , Dragoje Stanisavljević , Metka Volavšek

mixed ductal-acinar carcinoma, follicular lymphoma, autoimmune pancreatitis, IgG4, pancreas, duodenum

Branislava Ranković

,

Clara Limbaeck-Stokin

,

Mihajlo Đokić

,

Dragoje Stanisavljević

,

Metka Volavšek