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

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CK7 Negative
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* CK7 Negative
CA19.9 Negative
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* CA19.9 Negative
PSA Positive
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* PSA Positive
  
  
 
===Discussion===
 
===Discussion===
Metastatic prostate carcinoma to the pancreas is rare.
+
Metastatic prostate carcinoma to the pancreas is rare; however, long term survival of prostate cancer may increase the incidence. Renal cell carcinoma is the most metastatic pancreatic tumor.
  
 
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Latest revision as of 16:22, 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


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Final Diagnosis

Cytology

  • Metastatic prostate carcinoma.
  • CK7 Negative
  • CA19.9 Negative
  • PSA Positive


Discussion

Metastatic prostate carcinoma to the pancreas is rare; however, long term survival of prostate cancer may increase the incidence. Renal cell carcinoma is the most metastatic pancreatic tumor.