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Cytologically Yours: Unknowns: 201401: Case 3

40 bytes added, 20:04, 16 January 2014
Resident Questions
===Resident Questions===
* <spoiler text="Diagnosis?">__NOGLOSSARY__
* Chronic pancreatits
** Occurs in the 4th and 5th decades
** Strictures of the biliary or pancreatic ducts occurs as well as calcification
</spoiler>
* <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
* Smears are polymorphous (ductal cells, acinar cells, macrophages, inflammatory cells, fibrosis, debris, calcification, fat necrosis)
* Ductal cells out number acinar cells (acinar atrophy)
</spoiler>
* <spoiler text="Differential diagnosis?"> __NOGLOSSARY__
* Adenocarcinoma
** Occurs later (6th and 7th decades)
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