Case 33

Surgical Pathology Case
 
Clinical Information
  70 year-old female, pancreatic tumor
Gross Description
 

The specimen consists of a resected spleen and a partial pancreas. The spleen measures 17.0 x 12.0 x 4.5 cm. The surface of the spleen is smooth and unremarkable. The pancreatic specimen measures 14.0 x 12.0 x 9.0 cm, and the surface is smooth and distorted by multiple larger nodules. Sectioning through the spleen is unremarkable. Sectioning through the pancreatic specimen reveals a tumor with solid and polycystic areas. The cut surface of the solid area is pale-tan and yellow measuring 8.0 x 4.5 cm. The largest cyst measures 4.0 x 3.5 cm and consists of brown-tan gelatinous material.

     
 
   
     
 
     
  Pictures of the solid area
     
 
  HE, 4 HE, 20
 
  HE, 20 HE, 20
 
  HE, 20 HE, 20
 
  HE, 20 HE, 20
 
  HE, 10 HE, 20
 
  HE, 20 HE, 20
 
  HE, 20 HE, 40
 
  HE, 40 HE, 40
 
  HE, 40 HE, 40
 
  HE, 40 HE, 40
 
  HE, 40 HE, 60
     
  Pictures of the cystic area
     
 
  HE, 40 HE, 10
 
  HE, 20 HE, 20
 
  HE, 10 HE, 20
     
 

Pictures of PanIN

 
  HE, 10 HE, 20
 
  HE, 40 HE, 40
   
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan