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 disorder from carcinoma. The elevated use of pancreatic effective needle aspiration (FNA) besides advances in imaging innovations and the advent of endoscopic ultrasound suggestions have ended in a lot better detection and popularity of pancreatic plenty. for that reason, pancreatic cytopathology is fundamental to actual pre-operative prognosis but it's a hard diagnostic sector with various strength pitfalls and "look-alike" lesions. Skillful acceptance and an know-how of the constraints of the approach are crucial in averting misdiagnosis of those harmful lesions.
Atlas of Pancreatic Cytopathology with Histopathologic Correlations fills a void in present pathology literature. With 450 high-resolution photographs, together with pictures of histopathologic and radiologic beneficial properties, this functional atlas provides an built-in method of diagnostic cytopathology that would aid general practitioner cytopathologists, cytotechnologists, and pathologists stay away from strength pitfalls and "look-alike" lesions. Written by means of famous specialists within the box, the broad high-resolution colour photos of the attribute good points of pancreatic sickness are provided with special descriptions that conceal vintage positive factors, diagnostic clues, and strength pitfalls.
Atlas of Pancreatic Cytopathology with Histopathologic Correlations is a helpful source for the professional cytopathologist, normal and surgical pathologists, pathology trainees, and cytotechnologists.
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Additional info for Atlas of Pancreatic Cytopathology: With Histopathologic Correlations
This thick pasty looking aspirate (grossly) contains innumerable anucleate squames and keratinaceous debris admixed with scant crushed lymphocytes. Care should be taken not to confuse the keratinaceous debris with inpissated mucin in such cases. 33 — Lymphoepithelial cyst. On a transgastric FNA in this case, round globules of amorphouslooking material are seen admixed with benign contaminating gastric epithelium. This case was suspected to be a mucinous cystic neoplasm but on follow-up the lesion turned out to be a lymphoepithelial cyst.
Note the thin calcified rim. (B) Venous phase contrast-enhanced axial CT of the upper abdomen shows that the mass is still hypervascular in the venous phase. (C) Sagittal reconstruction of venous phase contrastenhanced CT confirms the small mass in the anterior portion of the neck of the pancreas. 24 Atlas of Pancreatic Cytopathology Selected Cases Illustrating Salient Radiologic Characteristics Case 9 A large hypervascular pancreatic endocrine neoplasm (34-year-old man with recent onset of severe hypertension and blurred vision).
34 — Lymphoepithelial cyst. The same globules of amorphous material from the above case stained red on Papanicolaou stain consistent with keratinaceous debris from a lymphoepithelial cyst. This amorphous material should not be confused with thick mucin. 35 — Lymphoepithelial cyst. An intimate admixture of polymorphous lymphocytes and superficial-type squamous epithelial cells and anucleate squames is seen. A bimodal admixture of these two cell types is highly suggestive of lymphoepilthelial cyst.