WSI21-73: Pancreas and Biliary Tree

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Request type Study

Subspecialty Cytology

Topic Pancreas and Biliary Tree

Presenter MGH

Toggle columns: Diagnosis

Case	Clinical history	Requester	Diagnosis
Case	Clinical history	Requester	Diagnosis
Case 1	39F • pancreatic body mass.	Iac0	Solid pseudopapillary neoplasm.
Case 2	57M. Pancreatic head cyst.	Iac0	Small mature lymphocytes • consistent with lymphangioma.
Case 3	33M. History of alveolar rhabdomyosarcoma. Now with pancreatic body mass.	Iac0	Metastatic alveolar rhabdomyosarcoma
Case 4	40-year-old female • pancreatic cyst fluid. CEA 8887 ng/mL.	Iac0	Neoplastic mucinous cyst. Resection - Invasive adenocarcinoma arising in a mucinous cystic neoplasm with ovarian type stroma and dysplasia including high grade dysplasia.
Case 5	60F. Pancreatic and abdominal wall mass.	Iac0	Epithelioid gastrointestinal stromal tumor (GIST) with succinate dehydrogenase (SDH) deficiency.
Case 6	57 yo man with a newly identified pancreatic head mass.	Cfh13	Positive for malignant cells. Adenocarcinoma.
Case 7	84 y.o male with very large 9 cm abdominal mass occupying the head and body of the pancreas.	Sxm	Serous cyst adenoma.
Case 8	60 y.o female with a cyst in the uncinate process. CEA0.6 • Amylase 190	Sxm	Consistent with serous cystadenoma. VHL mutation.
Case 9	16 mm multicystic mass in the pancreas tail.	Sxm	Serous cystadenoma. -cuboidal • nonmucinous cyst lining cells. -PAS+ / dPAS-
Case 10	Pancreatic cyst.	Sxm	Serous cystadenoma
Case 11	59F with pancreatic mass and liver mass.	Tz046	A. PANCREATIC HEAD MASS: Pancreatic neuroendocrine tumor • grade 3. B. LIVER MASS CORE BIOPSY: Metastatic pancreatic neuroendocrine tumor.
Case 12	2.5 cm cyst in the tail of the pancreas with mild septal enhancement	Est105	Serous cystadenoma
Case 13	hx pancreatic mass	Est105	adenocarcinoma
Case 14	hx pancreatic body mass	Est105	acinar cell carcinoma
Case 15	51F pancreatic tail mass. 3y post-Whipple resection for benign pancreatic cyst.	Iac0	Abundant neutrophilic inflammation with rare fungal organisms • cytomorphologically consistent with Candida spp.
Case 16	71M. Pancreatic head cyst.	Iac0	Acellular mucin with ferning pattern • consistent with neoplastic mucinous cyst.
Case 17	60 yo F w/ liver lesion	Ndk6	Adenocarcinoma c/w biliary origins
Case 139	31 yo M w/ cholangiocarcinoma	Ndk6	Adenocarcinoma
Case 140	71M. Peripancreatic mass. History of thyroid carcinoma.	Iac0	Metastatic papillary thyroid carcinoma.
Case 141	67-year-old man with pancreatic body cyst	Lt511	Neoplastic mucinous cyst