Difference between revisions of "Cytologically Yours: Unknowns: 201401: Case 3"

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==Clinical History==
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45 year old male with weight loss and jaundice.
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==Cytology==
 
==Cytology==
 
<gallery heights="333px" widths="333px">
 
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===Resident Questions===
 
===Resident Questions===
* <spoiler text="Diagnosis?">
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* <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?">
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* <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?">
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* <spoiler text="Differential diagnosis?">__NOGLOSSARY__
 
* Adenocarcinoma
 
* Adenocarcinoma
 
** Occurs later (6th and 7th decades)
 
** Occurs later (6th and 7th decades)

Latest revision as of 20:09, 16 January 2014

Clinical History

45 year old male with weight loss and jaundice.

Cytology

Resident Questions