Difference between revisions of "Cytologically Yours: Unknowns: 201401: Case 3"
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| + | ==Clinical History== | ||
| + | 45 year old male with weight loss and jaundice. | ||
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==Cytology== | ==Cytology== | ||
<gallery heights="333px" widths="333px"> | <gallery heights="333px" widths="333px"> | ||
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===Resident Questions=== | ===Resident Questions=== | ||
| − | * <spoiler text="Diagnosis?"> | + | * <spoiler text="Diagnosis?">__NOGLOSSARY__ |
* Chronic pancreatits | * Chronic pancreatits | ||
** Occurs in the 4th and 5th decades | ** Occurs in the 4th and 5th decades | ||
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** Strictures of the biliary or pancreatic ducts occurs as well as calcification | ** Strictures of the biliary or pancreatic ducts occurs as well as calcification | ||
</spoiler> | </spoiler> | ||
| − | * <spoiler text="What are some of the cytologic features that lead you to the diagnosis?"> | + | * <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 | * 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) | * Smears are polymorphous (ductal cells, acinar cells, macrophages, inflammatory cells, fibrosis, debris, calcification, fat necrosis) | ||
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* Ductal cells out number acinar cells (acinar atrophy) | * Ductal cells out number acinar cells (acinar atrophy) | ||
</spoiler> | </spoiler> | ||
| − | * <spoiler text="Differential diagnosis?"> | + | * <spoiler text="Differential diagnosis?">__NOGLOSSARY__ |
* Adenocarcinoma | * Adenocarcinoma | ||
** Occurs later (6th and 7th decades) | ** Occurs later (6th and 7th decades) | ||
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* Pancreatic cancer is often surrounded by a zone of pancreatitis, therefore pancreatits does not exclude malignancy nor does inflammation | * Pancreatic cancer is often surrounded by a zone of pancreatitis, therefore pancreatits does not exclude malignancy nor does inflammation | ||
</spoiler> | </spoiler> | ||
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| + | {{Cytologically Yours}} | ||
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| + | [[Category:Unknowns]] | ||
Latest revision as of 20:09, 16 January 2014
Clinical History
45 year old male with weight loss and jaundice.
Cytology
Resident Questions
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