By Syed Z. Ali MD, Yener S. Erozan MD, Ralph H. Hruban MD
Medical and radiologic examinations can't reliably distinguish benign or inflammatory pancreatic illness from carcinoma. The elevated use of pancreatic wonderful needle aspiration (FNA) in addition to advances in imaging thoughts and the advent of endoscopic ultrasound assistance have resulted in much better detection and popularity of pancreatic plenty. accordingly, pancreatic cytopathology is quintessential to actual pre-operative analysis, but it's a tough diagnostic quarter with a number of strength pitfalls and ???„????look-alike???„???? lesions. Skillful popularity and an know-how of the restrictions of the process are crucial in heading off misdiagnosis of those risky lesions. Atlas of Pancreatic Cytopathology with Histopathologic Correlations fills a void in present pathology literature. With 450 high-resolution photos, together with photographs of histopathologic and radiologic good points, this functional atlas provides an built-in method of diagnostic cytopathology that might aid general practitioner cytopathologists, cytotechnologists, and pathologists steer clear of power pitfalls and ""look-alike"" lesions. Written by way of well-known specialists within the box, the broad high-resolution colour photographs of the attribute good points of pancreatic illness are provided with targeted descriptions that conceal vintage gains, diagnostic clues, and strength pitfalls. Atlas of Pancreatic Cytopathology with Histopathologic Correlations is a invaluable source for the professional cytopathologist, normal and surgical pathologists, pathology trainees, and cytotechnologists.
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Additional resources for Atlas of Pancreatic Cytopathology with Histopathologic Correlations
Two slightly hemorrhagic cysts sit between the duodenum (top) and the pancreas (bottom). This form of pancreatitis can mimic both cystic and solid neoplasms of the pancreas. Recognition that this lesion is located in the groove region (bordered by the minor papilla, the bile duct, the head of the pancreas, and the duodenum) helps establish the correct diagnosis. 38 — Paraduodenal wall cyst (groove pancreatitis). The cysts are believed to result from the obstruction of small ducts feeding into the minor papillae.
A) Venous phase contrast-enhanced axial CT of the upper abdomen, shows a hypodense mass infiltrating the body and tail of the pancreas (arrows). The mass is occluding the splenic vein. Note the small hypodense liver mass compatible with metastasis (arrow head). (B) Venous phase contrast-enhanced axial CT of the upper abdomen at a higher level shows multiple collateral veins around the stomach (arrows), confirming that the splenic vein is occluded by the tumor. 18 Atlas of Pancreatic Cytopathology Selected Cases Illustrating Salient Radiologic Characteristics Case 3 Adenocarcinoma of the pancreas, unresectable due to venous encasement (64-year-old woman with abdominal bloating).
Note the dilated pancreatic duct (arrowhead). (B) Arterial phase contrast-enhanced axial CT of the upper abdomen demonstrating that the tumor is growing around the superior mesenteric artery (arrows). (C) Arterial phase contrast-enhanced axial CT of the upper abdomen showing that the tumor has encased the celiac axis (arrows). 20 Atlas of Pancreatic Cytopathology Selected Cases Illustrating Salient Radiologic Characteristics Case 5 Incidental side branch intraductal papillary mucinous neoplasms (IPMNs) (incidental finding of pancreas abnormality on ultrasound triggered CT in this 70-year-old woman).