Difference between revisions of "Cytologically Yours: CoW: 20140213"

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* <spoiler text="What stains do you order?"> We ordered PSA, CK7, and CA19.9.  </spoiler>
  
 
<div class="usermessage mw-customtoggle-diagnosis" style="cursor:pointer">Click here to toggle the diagnosis and discussion.</div>
 
<div class="usermessage mw-customtoggle-diagnosis" style="cursor:pointer">Click here to toggle the diagnosis and discussion.</div>
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* '''Metastatic prostate carcinoma'''.
 
* '''Metastatic prostate carcinoma'''.
  
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CytologicallyYoursCoW20140213Biopsy2.jpg|20x magnification of PSA shows positive staining
  
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===Biopsy Diagnosis===
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CK7 Negative
* '''Conventional high grade sarcoma, sclerotic type'''.
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CA19.9 Negative
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PSA Positive
  
  
 
===Discussion===
 
===Discussion===
The experience of FNA of osteosarcoma is mainly with conventional high-grade intramedullary sarcoma and to the rare high-grade surface osteosarcoma. Smears usually contain dissociated neoplastic cells and cell clusters.  
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Metastatic prostate carcinoma to the pancreas is rare.
  
 
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Revision as of 16:18, 4 March 2014

Contents

Clinical Summary

The patient is a 66yo old male presenting with jaundice.

Past Medical History

  • History of prostate cancer 5 years ago.
  • Hyperlipidemia
  • Chronic back pain

Past Surgical History

  • Prostatectomy (2009)
  • Thyroidectomy (2004)

Ultrasound

  • Ultrasound of head of pancreas shows a 43mm x 23mm ill defined mass.

Clinical Plan

The differential diagnosis included pancreatic adenocarcinoma and metastatic prostate cancer.

Pathology

Cytology


Resident Questions


Cell Block


Click here to toggle the diagnosis and discussion.

Final Diagnosis

Cytology

  • Metastatic prostate carcinoma.

CK7 Negative CA19.9 Negative PSA Positive


Discussion

Metastatic prostate carcinoma to the pancreas is rare.