Cytologically Yours: Unknowns: 201401: Case 2: Difference between revisions
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===Resident Questions=== | ===Resident Questions=== | ||
* <spoiler text="Diagnosis?"> | * <spoiler text="Diagnosis?">__NOGLOSSARY__ | ||
* Pancreatic Endocrine Neoplasm | * Pancreatic Endocrine Neoplasm | ||
** Include Islet cell tumor and pancreatic carcinoid tumors | ** Include Islet cell tumor and pancreatic carcinoid tumors | ||
** Approximately 5 | ** Approximately 5% of pancreatic neoplasms | ||
** Most commonly seen in both male and female adults between 40-60 years old but can occur at any age | ** Most commonly seen in both male and female adults between 40-60 years old but can occur at any age | ||
** Small (1-5 cm) well circumscribed lesion may look cystic on imaging | ** Small (1-5 cm) well circumscribed lesion may look cystic on imaging | ||
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** Can be part of Multiple Endocrine Neoplasia-1, von Hipple-Lindau disease, Neurofibromatosis type 1, Tuberous Sclerosis Complex | ** Can be part of Multiple Endocrine Neoplasia-1, von Hipple-Lindau disease, Neurofibromatosis type 1, Tuberous Sclerosis Complex | ||
</spoiler> | </spoiler> | ||
* <spoiler text="What are some of the cytologic features that lead you to the diagnosis?"> | * <spoiler text="What are some of the cytologic features that lead you to the diagnosis?">__NOGLOSSARY__ | ||
* Cellular smear with singly dispersed uniform cells | * Cellular smear with singly dispersed uniform cells | ||
* Loosely cohesive or discohesive uniform cells | * Loosely cohesive or discohesive uniform cells | ||
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* Round/oval bland cells with salt and pepper chromatin | * Round/oval bland cells with salt and pepper chromatin | ||
</spoiler> | </spoiler> | ||
* <spoiler text="Differential diagnosis?"> | * <spoiler text="Differential diagnosis?">__NOGLOSSARY__ | ||
* Acinar cell carcinoma | * Acinar cell carcinoma | ||
** Clusters, acinar groups and single cells with abundant granular cytoplasm and prominent nucleoli | ** Clusters, acinar groups and single cells with abundant granular cytoplasm and prominent nucleoli | ||
Latest revision as of 15:04, 16 January 2014
Clinical History
52 year old female with a pancreatic head mass.
Cytology
Resident Questions
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