Resident Questions
- Lymphoma
- Occurs in elderly
- Diffuse large B cell lymphoma is the most common
- Presentation includes abdominal pain and jaundice due to bile duct obstruction
- Pancreatic primary lymphoma accounts for less than 0.5% of all pancreatic malignancies and 1% of extranodal lymphomas
- Secondary involvement of the pancreas by lymphoma has been reported to occur in 5-30% of all lymphomas.
- Cellular specimen
- Monotonous population of cells that are discohesive
- Look for lymphoglandular bodies in the background
- Cells will have high N/C ratios with round nuclei
- Mitosis
- Karryorrhexis
- Lack nuclear molding
- Rare tissue fragments
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