Difference between revisions of "Cytologically Yours: Unknowns: 201401: Case 2"
Seung Park (talk | contribs) (→Resident Questions) |
Seung Park (talk | contribs) |
||
| (One intermediate revision by the same user not shown) | |||
| Line 1: | Line 1: | ||
| + | ==Clinical History== | ||
| + | 52 year old female with a pancreatic head mass. | ||
| + | |||
==Cytology== | ==Cytology== | ||
<gallery heights="333px" widths="333px"> | <gallery heights="333px" widths="333px"> | ||
| Line 10: | Line 13: | ||
===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 | ||
| Line 19: | Line 22: | ||
** 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 | ||
| Line 27: | Line 30: | ||
* 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 20:04, 16 January 2014
Clinical History
52 year old female with a pancreatic head mass.
Cytology
Resident Questions
| ||||||||
