Case 34 - Discussion

Uploaded: 2007-03-23, Updated: 2007-06-22

 

 

 

STOMACH, HEAD OF PANCREAS, DUODENUM, JEJUNUM, DISTAL COMMON BILE DUCT, EXCISION:

 
  • Well differentiated pancreatic adenocarcinoma. Maximum dimension of tumor, 5.0 cm.
  • Tumor infiltrates through the duodenal muscularis, submucosa and into the mucosa.
  • Tumor infiltrates the ampulla.
  • Tumor is within 0.1 cm of the retroperitoneal margins.
  • All margins (gastric, duodenal, pancreatic, CBD and mesenteric vessel) are free of tumor.
  • Sixteen peripancreatic lymph node head of tumor is negative for malignancy.
  • AJCC staging: T3, N0, MX (stage IIB).
   
 

Well differentiated pancreatic adenocarcinoma

Clinical Futures
   
Gross Findings
   
Microscopic Findings
   
Subtypes
   
Differential Diagnosis
   
Immunohistochemistry Straining
   
Election Microscopy
   
Cytogenetics
   
Treatment and Prognosis
   
Reference