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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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pseydocyst or non-neoplastic cyst fluid chemistries
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amylase/lipase HIGH
CEA low |
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mucinous cyst fluid chemistries
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amylase/lipase LOW
CEA elevated |
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non-mucinous cyst fluid chemistries
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amylase/lipase LOW
CEA low |
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IPMN
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amylase/lipase HIGH
CEA HIGH |
connected to duct system, so high enzymes; mucinous and neoplastic, so high CEA
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cytomorphology of benign pancreatic acinar cells
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-acinar arrangements or isolated cells
-eccentrically placed, round nucleus -evenly distributed, finely granular chromatin -inconspicuous nucleolus -abundant granular cytoplasm -indistinct cell borders |
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cytomorphology of benign pancreatic and biliary ductal cells
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-flat cohesive sheets (few isolated cells)
-even nuclear spacing within sheets -round to oval nucleus -evenly distributed, finely granular chromatin -inconspicuous nucleolus -well-defined cytoplasmic boundaries |
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cytomorphology of reactive ductal atypia
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-low cellularity
-flat cohesive sheets with evenly spaced nuclei -absent or rare isolated atypical cells -enlarged cells -round to oval nucleus -prominent nucleolus -occasional mitoses -abundant cytoplasm |
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cytomorphology of ductal adenocarcinoma
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-moderate to high cellularity
-crowded sheets of disordered ductal cells (drunken honeycomb) -isolated malignant cells -irregular nuclear contours -nuclear enlargement - ANISONUCLEOSIS -irregular chromatin - clumping & clearing -mitoses -scant or abundant mucinous cytoplasm |
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cytomorphology of acinic cell carcinoma
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-highly cellular specimen
-loose cell aggregates -numerous isolated cells -round or oval nucleus -smooth nuclear contour -prominent nucleolus -delicate granular cytoplasm -positive for alpha-1-antitrypsin |
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cytomorphology of solid-pseudopapillary neoplasm
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-highly cellular
-myxoid or hyalinized vascular stalks lined by neoplastic cells -delicate granular cytoplasm, indistinct cell borders -round or oval nuclei -nuclear grooves -inconspicuous nucleoli -foam cells, necrotic debris -nuclear positivity for B-catenin |
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cytomorphology of well-diff pancreatic endocrine neoplasm
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-highly cellular
-predominantly isolated cells, bare nuclei -pseudorosettes -uniform, round or oval nuclei -eccentric nuclei (plasmacytoid) -finely stippled (S&P) chromatin -mod to abundant cytoplasm |
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cytomorphology of serous cystadenoma
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-sparse cellularity
-clean background or granular material -flat sheets and loose clusters -cuboidal cells -clear or granular cytoplasm with indistinct cell borders -bare nuclei -small round nucleus -fine chromatin -inconspicuous nucleolus |
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cytomorphology of mucinous cystic neoplasm and intraductal papillary mucinous neoplasm
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-hypocellular specimen
-thick mucin -columnar mucinous cells (sheets, papillae, or isolated cells) -nuclear and architectural atypia (if dysplasia or malignancy present) |
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