Happy New Year,
Our latest Journal Watch has just been posted to the PBPS website http://pbpath.org/journal-watch/.
Please share with your colleagues, fellows, and residents.
Pancreatobiliary Pathology Society Education Committee
CASE #5: QUARTER 4, 2019
74-year-old man presented with jaundice, progressive anemia, dark urine, melena, and a reported weight loss of 10 kilograms in 2 weeks. His comorbidities included mild chronic renal failure, diverticulosis, and dyslipidemia. He was previously a smoker (20 cigs/day, stopped 35 years ago).
On examination, his BMI was 26.1, Hb: 8.7 g/dl, bilirubin total/fractionated (direct): 13.4/8.0 mg/dl, CEA 2.6 U/ml, CA 19-9: 2 U/ml. CT scan showed a 3 cm well-defined lesion in the pancreatic head/periampulla. There was no evidence of distant metastasis. The patient underwent a pancreaticoduodenectomy.
The resection specimen was remarkable for a 3 cm well circumscribed, solid mass centered in the pancreatic head, with focal extension to the ampulla, distal bile duct, and peripancreatic adipose tissue. Cut surface was tan white and fleshy.
See figures and answer here Case #5: Quarter 4, 2019
USCAP 2020 Abstract Award
World Pancreatic Cancer Day
November is the Pancreatic Cancer Awareness month and November 21st is World Pancreatic Cancer day.
We, the Pancreatobiliary Pathology Society, support the mission to raise awareness and inspire action on this day.
We send our support to the survivors, their families and to everyone who has lost a loved one to this deadly disease. We also reiterate our dedication to improve the clinical practice and management of pancreatic cancer and to foster tissue-based research.
World Pancreatic Cancer Day
Spread the word! #WPCD or #worldpancreaticcancerday
USCAP 2020: PANCREATOBILIARY PATHOLOGY COMPANION SOCIETY PROGRAM
Cystic and Intraductal Neoplasms of the Pancreatobiliary Tract
When: February 29, 2020. 7-10PM
Location: Los Angeles Convention Center
Martha Bishop Pitman
Jin-Young Jang: Management Algorithms for Pancreatic Cysts and Intraductal Neoplasms: The Surgeon’s Perspective
Michelle D. Reid: Cytologic Assessment of Cystic/Intraductal Lesions of the Pancreatobiliary Tract
Aatur D. Singhi: Preoperative Molecular Assessment of Pancreatic Cysts and Intraductal Lesions
David S. Klimstra: Mucinous Cystic and Intraductal Neoplasms of the Pancreatobiliary Tract
Irene Esposito: Non-mucinous Cystic Lesions of the Pancreas
Brief overview of what is being presented/discussed (this will also be shown in the Annual Meeting Program Book):
Despite numerous advances in the field, the diagnosis, classification, grading, and management of cystic and intraductal lesions of the pancreatobiliary tract remain controversial. Additionally, recently described entities such as intraductal tubulopapillary neoplasm (ITPN) and intraductal papillary neoplasm of the bile duct (IPNB) remain diagnostically challenging, and their prognostic implications are poorly understood. The mission of the Pancreatobiliary Pathology Society is to educate surgical and cytopathologists on the importance of the advances in this complex area and will hopefully transform the way we practice pancreatobiliary pathology. The Education Committee, in consultation with Society officers, determined the title, contents, and speakers of this companion meeting.
The chosen topics represent a 360-degree expert evaluation of cystic and intraductal pancreatobiliary lesions in the step-wise manner in which they are often encountered, from the surgeon’s perspective, to their cytomorphologic and molecular characteristics, as well as their histomorphology.
Case #4: Quarter 3, 2019
A female in mid-fifties underwent cholecystectomy due to cholelithiasis. No significant previous medical history was noted.
Grossly, the gallbladder showed mild wall thickening with the serosa mostly covered with ragged and fibrotic adipose tissue and yellowish calculi. No mass lesion was identified.
The microscopic findings are shown below (Figures 1-4).
See figures and answer here Case #4: Quarter 3, 2019
CASE #3: QUARTER 2, 2019
59 year-old man with a 5.0 cm mass in the head of the pancreas
The patient underwent pancreaticoduodenectomy, which showed a 5.0 cm well circumscribed mass confined in the head of the pancreas. The cut surface of the tumor is tan, soft with mixed areas of necrosis and hemorrhage. The following images (Figure 1-4) are representative micrographs of the tumor.
See figures and answer here CASE #3: QUARTER 2, 2019