Case 211

Surgical Pathology Case


  A 33-year-old African American male presented with an abdominal mass.



Image studies demonstrate a  large,  heterogeneous  mass in  the  left mid-upper  quadrants  of  the  abdomen.  The  mass  measures 17.4 cm  AP 18.3 cm transverse 23.4 cm  craniocaudal with  both  cystic  and  solid components.  It  is  difficult  to  assess  if  the  mass  is arising/infiltrating  the  spleen,  pancreas,  or  stomach.  There  is  adjacent mass-effect  on  the  left  kidney,  left  adrenal  gland,  spleen,  stomach, aorta,  and  liver.  Multiple  collateral  vessels  are  noted  surrounding  the mass.


HE, 10

HE, 20


HE, 40

Wright-Giemsa, 40



The abdominal tumor was significantly decreased in size following 6-month Gleevec treatment.


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

Photo: Zenggang Pan

Discussion: Zenggang Pan