Difference between revisions of "Cytologically Yours: Unknowns: 201401: Case 3"

From Pathology Education Instructional Resource
Jump to: navigation, search
 
(2 intermediate revisions by one user not shown)
Line 1: Line 1:
 +
==Clinical History==
 +
45 year old male with weight loss and jaundice.
 +
 
==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__
 
* Chronic pancreatits
 
* Chronic pancreatits
 
** Occurs in the 4th and 5th decades
 
** Occurs in the 4th and 5th decades
Line 19: Line 22:
 
** Strictures of the biliary or pancreatic ducts occurs as well as calcification
 
** Strictures of the biliary or pancreatic ducts occurs as well as calcification
 
</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__
 
* Variable cellularity depending on the fibrosis in the specimen, however usually low cellularity
 
* Variable cellularity depending on the fibrosis in the specimen, however usually low cellularity
 
* Smears are polymorphous (ductal cells, acinar cells, macrophages, inflammatory cells, fibrosis, debris, calcification, fat necrosis)
 
* Smears are polymorphous (ductal cells, acinar cells, macrophages, inflammatory cells, fibrosis, debris, calcification, fat necrosis)
Line 27: Line 30:
 
* Ductal cells out number acinar cells (acinar atrophy)
 
* Ductal cells out number acinar cells (acinar atrophy)
 
</spoiler>
 
</spoiler>
* <spoiler text="Differential diagnosis?">
+
* <spoiler text="Differential diagnosis?">__NOGLOSSARY__
 
* Adenocarcinoma
 
* Adenocarcinoma
 
** Occurs later (6th and 7th decades)
 
** Occurs later (6th and 7th decades)
Line 36: Line 39:
 
* Pancreatic cancer is often surrounded by a zone of pancreatitis, therefore pancreatits does not exclude malignancy nor does inflammation
 
* Pancreatic cancer is often surrounded by a zone of pancreatitis, therefore pancreatits does not exclude malignancy nor does inflammation
 
</spoiler>
 
</spoiler>
 +
 +
{{Cytologically Yours}}
 +
 +
[[Category:Unknowns]]

Latest revision as of 14:09, 16 January 2014

Clinical History

45 year old male with weight loss and jaundice.

Cytology

Resident Questions