Cytologically Yours: CoW: 20140213

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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


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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.