Cytologically Yours: CoW: 20140213: Difference between revisions - Pathology Education Instructional Resource

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* <spoiler text="What was the initial diagnosis on rapid interpretation?"> Adenocarcinoma. </spoiler>

====Cell Block====

CytologicallyYoursCoW20140213Biopsy1.jpg|40x magnification of cell block of pancreatic mass showing small glands with macronucleoli.

</gallery>

* <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>

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* '''Metastatic prostate carcinoma'''.

~~===Cell Block===~~

~~CytologicallyYoursCoW20140213Biopsy1~~.jpg|~~40x~~ magnification of ~~cell block of pancreatic mass showing small glands with macronucleoli.~~

CytologicallyYoursCoW20140213Biopsy2.jpg|20x magnification of PSA shows positive staining

</gallery>

~~===Biopsy Diagnosis===~~

* CK7 Negative

* ~~'''Conventional high grade sarcoma, sclerotic type'''~~.

* CA19.9 Negative

* PSA Positive

===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~~.

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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@@ Line 33: / Line 33: @@
 * <spoiler text="What was the initial diagnosis on rapid interpretation?"> Adenocarcinoma.   </spoiler>
+====Cell Block====
+<gallery heights="250px" widths="250px">
+CytologicallyYoursCoW20140213Biopsy1.jpg|40x magnification of cell block of pancreatic mass showing small glands with macronucleoli.
+</gallery>
+* <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>
@@ Line 42: / Line 49: @@
 * '''Metastatic prostate carcinoma'''.
-===Cell Block===
 <gallery heights="250px" widths="250px">
-CytologicallyYoursCoW20140213Biopsy1.jpg|40x magnification of cell block of pancreatic mass showing small glands with macronucleoli.
+CytologicallyYoursCoW20140213Biopsy2.jpg|20x magnification of PSA shows positive staining
 </gallery>
-===Biopsy Diagnosis===
+* CK7 Negative
-* '''Conventional high grade sarcoma, sclerotic type'''.
+* CA19.9 Negative
+* PSA Positive
 ===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.
+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.
 </div></div>