Cytologically Yours: CoW: 20140213: Difference between revisions
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Created page with "== Clinical Summary == The patient is a 66yo old male presenting with jaundice. === Past Medical History === * History of prostate cancer 5 years ago. * Hyperlipidemia * Chr..." |
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* <spoiler text=" | * <spoiler text="What is your initial diagnosis?"> This was initially called adenocarcinoma on rapid diagnosis during the endoscopic ultrasound guided procedure. </spoiler> | ||
===Cell Block=== | |||
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CytologicallyYoursCoW20140213Biopsy1.jpg|40x magnification of cell block of pancreatic mass showing small glands with macronucleoli. | |||
* <spoiler text="What special stains do you order?"> </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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==Final Diagnosis== | ==Final Diagnosis== | ||
===Cytology=== | ===Cytology=== | ||
* ''' | * '''Metastatic prostate carcinoma'''. | ||
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Revision as of 17:11, 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
-
10x magnification of large cohesive groups of cells. -
40x magnification showing atypical cells with large irregular nuclei. -
20x magnification showing atypical cells with large irregular nuclei. -
40x magnification showing large, markedly pleomorphic cells. -
40x magnification of malignant cell groups. -
60x magnification of malignant cells. Macronucleoli are easily identified.
Resident Questions
Cell Block
-
40x magnification of cell block of pancreatic mass showing small glands with macronucleoli.
Biopsy Diagnosis
- Conventional high grade sarcoma, sclerotic type.
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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