|A 68-year-old lady had epigastric pain for several months with a weight loss of 15 pounds. CAT and ultrasound studies revealed a mass of the pancreatic head. Serum CA-19 was 290.|
Sectioning through the pancreas reveals a tan-white, 3.5 × 3.0 × 3.5 cm tumor mass in the head of the pancreas. The tumor infiltrates the main pancreatic duct, the common bile duct and the duodenal muscularis.
|HE, 20×||HE, 10×|
Source: Department of Pathology, Creighton University Medical Center, Omaha, NE