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

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* <spoiler text="What was the initial diagnosis on rapid interpretation?"> Adenocarcinoma.  </spoiler>
 
* <spoiler text="What was the initial diagnosis on rapid interpretation?"> Adenocarcinoma.  </spoiler>
  
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====Cell Block====
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<gallery heights="250px" widths="250px">
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CytologicallyYoursCoW20140213Biopsy1.jpg|40x magnification of cell block of pancreatic mass showing small glands with macronucleoli.
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</gallery>
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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'''.
  
 
===Cell Block===
 
 
<gallery heights="250px" widths="250px">
 
<gallery heights="250px" widths="250px">
CytologicallyYoursCoW20140213Biopsy1.jpg|40x magnification of cell block of pancreatic mass showing small glands with macronucleoli.
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CytologicallyYoursCoW20140213Biopsy2.jpg|20x magnification of PSA shows positive staining
  
 
</gallery>
 
</gallery>
  
===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; 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 22:22, 4 March 2014

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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