Open main menu

Pathology Education Instructional Resource β

Cytologically Yours: CoW: 20140213

Contents

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


Click here to toggle the diagnosis and discussion.

Final Diagnosis

Cytology

  • Metastatic prostate carcinoma.

CK7 Negative CA19.9 Negative PSA Positive


Discussion

Metastatic prostate carcinoma to the pancreas is rare.