History: A female in mid-fifties underwent cholecystectomy due to cholelithiasis. No significant previous medical history was noted. Macroscopy: Grossly, gallbladder wall was mildly thickened, and serosal surface was ragged. Open sectioning, there were several yellowish calculi within the lumen but, no mass lesion was identified. Microscopy: The microscopic findings are shown below (Figures 1-4). […] Read more…
History: 59 year-old man with a 5.0 cm mass in the head of the pancreas Pancreaticoduodenectomy: 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 […] Read more…
History: A 69-year-old African American female had chronic epigastric and back pain post hiatal hernia repair. Radiology: Abdominal computed tomography scan was performed and revealed a 2.5 cm, solid pancreatic tail mass with associated pancreatic duct dilation. Radiologically this was suspicious for either pancreatic ductal adenocarcinoma or a neuroendocrine tumor. FNA: Endoscopic ultrasound-guided fine needle […] Read more…
Dear Pancreatobiliary Pathology Society (PBPS) members and other interested parties in the pancreatobiliary pathology community, PBPS is seeking enthusiastic volunteers for Case of the Quarter Subcommittee positions. Applicants need to be active members in (or they can join) the PBPS. The subcommittee will have 4 members. Term for all members is 2 years. Each member will generate a case […] Read more…
CASE # 1: QUARTER 4, 2018 A 57-year-old male, with a history of bladder and prostate cancer, and pancreatitis, presents with dark urine and clay-colored floating stools. Labs were notable for white blood cell count 5900, lipase 449, alkaline phosphatase 731, total bilirubin 6.3, AST 381, and ALT 991. CA 19-9 was elevated at 184 […] Read more…