Difference between revisions of "Cytologically Yours: Unknowns: 201401: Case 1"
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| + | ==Clinical History== | ||
| + | 72 year old female with jaundice and a pancreatic mass. | ||
==Cytology== | ==Cytology== | ||
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===Resident Questions=== | ===Resident Questions=== | ||
| − | * <spoiler text="Diagnosis?"> | + | * <spoiler text="Diagnosis?">__NOGLOSSARY__ |
* Adenocarcinoma | * Adenocarcinoma | ||
** Most common malignant tumor of the pancreas | ** Most common malignant tumor of the pancreas | ||
** Accounts for approximately 85% of all pancreatic tumors | ** Accounts for approximately 85% of all pancreatic tumors | ||
** Patients are commonly women in the 6th and 7th decades of life | ** Patients are commonly women in the 6th and 7th decades of life | ||
| − | ** Prognosis is poor 90% of patients die within a year of diagnosis | + | ** Prognosis is poor |
| + | *** 90% of patients die within a year of diagnosis | ||
** Association with cigarette smoking, high fat diet, and diabetes mellitus | ** Association with cigarette smoking, high fat diet, and diabetes mellitus | ||
** Triad of weight loss, pain, and jaundice | ** Triad of weight loss, pain, and jaundice | ||
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** Can obstruct the biliary or pancreatic ducts which can cause a double duct sign on imaging and can also cause painless jaundice | ** Can obstruct the biliary or pancreatic ducts which can cause a double duct sign on imaging and can also cause painless jaundice | ||
</spoiler> | </spoiler> | ||
| − | + | * <spoiler text="What are some of the cytologic features that lead you to the diagnosis?">__NOGLOSSARY__ | |
| − | * <spoiler text="What are some of the cytologic features that lead you to the diagnosis?"> | ||
* Cellular specimen | * Cellular specimen | ||
* Predominantly ductal type cells and sparse/absent acinar cells | * Predominantly ductal type cells and sparse/absent acinar cells | ||
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* Drunken honeycomb | * Drunken honeycomb | ||
</spoiler> | </spoiler> | ||
| − | + | * <spoiler text="Differential diagnosis?">__NOGLOSSARY__ | |
| − | * <spoiler text="Differential diagnosis?"> | ||
* Chronic pancreatitis | * Chronic pancreatitis | ||
** Occurs in 4th and 5th decades | ** Occurs in 4th and 5th decades | ||
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* The presence of mitotic figures does not support the diagnosis of carcinoma. Mitotic figures can be seen in chronic pancreatitis. | * The presence of mitotic figures does not support the diagnosis of carcinoma. Mitotic figures can be seen in chronic pancreatitis. | ||
</spoiler> | </spoiler> | ||
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| + | {{Cytologically Yours}} | ||
| + | |||
| + | [[Category:Unknowns]] | ||
Latest revision as of 20:14, 16 January 2014
Clinical History
72 year old female with jaundice and a pancreatic mass.
Cytology
Resident Questions
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