Case Report: Pancreatic Paraganglioma Mimicking a Well-Differentiated Neuroendocrine Tumor: The Importance of Cytokeratin Immunohistochemistry.
Tanner Storozuk, Marc Vecchio
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Case in brief
A 79-year-old woman presented with an incidental lesion in the pancreatic head, initially suspected to be a well-differentiated neuroendocrine tumor. Endoscopic ultrasound and cytopathologic evaluation revealed neoplastic cells with neuroendocrine characteristics. Immunohistochemical analysis showed the tumor cells were negative for cytokeratins and positive for GATA-3, confirming the diagnosis of pancreatic paraganglioma.
Diagnostic / clinical pearl
Cytokeratin immunohistochemistry is crucial in differentiating pancreatic paragangliomas from well-differentiated neuroendocrine tumors, as it can prevent misdiagnosis.