Case of the Quarter Submission Form - Submit your case to PBPath

All members are welcome to submit a pancreatobiliary pathology case for Case of the Quarter. Please carefully review and follow the directions on the submission form.

Timeline for review (4 weeks)

Acceptance notification:
Acceptance notification will be done via email 4 -6 weeks after article submission

Editorial Process:
After acceptance, the case of the quarter committee will work with the author to edit the case study as needed. Please note that case submission is not a guarantee of acceptance.

* indicates required field

Author information:

Main submitter's name(s) and title*

Main Submitter's Email*

Re-enter Email:*

Main submitter’s institution*

Second submitter’s name and title

Second submitter’s institution

Write a catchy title for your case

Case Title

Educational Objectives*

Clinical History (Maximum of 2000 characters with spaces)

Macroscopic Description

Histologic/Cytologic Features (Maximum of 2000 characters with spaces):

Pre-Test Image 1: At least one image posted*

Acceptable file types: jpg,jpeg,png.
Maximum file size: 10mb.

Image-1 description: At least one image with description*

Pre-Test Image 2

Image-2 description

Pre-Test Image 3

Image-3 description

Pre-Test Image 4

Image-4 description

Pre-Test Image 5

Image-5 description

Pre-Test-Image-6

Image-6 description

Pre-Test-Image-7

Image-7 description

Pre-Test-Image-8

Image-8 description

Case Diagnosis:

Include the correct diagnosis and at least 3 incorrect answers.

Correct Diagnosis*

Incorrect Answer 1*

Incorrect Answer 2*

Incorrect Answer 3*

Incorrect Answer 4

Discussion: (Maximum of 4000 characters)

Figure for Discussion - 1

Figure discussion - 1 description

Figure for Discussion - 2

Figure discussion - 2 description

Figure for Discussion - 3

Figure discussion - 3 description

Figure for Discussion - 4

Figure discussion - 4 description

Figure for Discussion - 5

Figure discussion - 5 description

Figure for Discussion - 6

Figure discussion - 6 description

Differential Diagnosis: (Maximum of 2000 characters)

References (Including PubMed links):

Disclosure Requirements

Explanation

The Pancreatobiliary Pathology Society has implemented a process where everyone who is in a position to control the educational content must disclose to us all relevant financial relationships with any commercial interest and any conflicts of interest prior to the educational activity. Case content will be reviewed by the education committee members; a determination will be made to manage the conflict with safeguards against any potential bias. This is not intended to prevent participation unless the conflict of interest is determined to be unresolvable. Refusal to disclose means that you relinquish your ability to participate in the educational activity. Circumstances create a conflict of interest when an individual has an opportunity to affect educational content about products or services of a commercial interest with which he/she has a financial relationship.

Commercial Products or Services

Will your Case Study include discussion of any commercial products or services?

Yes
No

Responsibility to Disclose I acknowledge that it is my responsibility to disclose to the audience any product mentioned in my presentation that is not labeled for the use under discussion or is still under investigation.

I acknowledge

Conflict of Interest

Do you or your spouse/partner have a financial interest/arrangement or affiliation with the manufacturer(s) of any of the products or provider(s) of any services you intend to discuss?

Yes
No

Conflict of Interest Disclosure - If applicable

Nature of Financial Relationship (include all that apply) Relevant to the Content of the Educational Activities that You Are Developing: Include:
1. Name of Commercial Interest?
2. What was received?
3. For what role?
Please list the names of any entities that produce, market, re-sell, or distribute health care goods or services consumed by, or used on, patients, related to the content of your presentation (except for non-profit or government organizations and non-health care related companies), with which you or your spouse/partner have, or had, a relevant financial relationship within the past 12 months. Please describe what you or your spouse/partner received (ex: salary, honorarium, etc.), but not the amount, and describe your role.

Conflict of Interest Disclosure - Name of Commercial Interest

Conflict of Interest Disclosure - What was received

Conflict of Interest Disclosure - For what role