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Case 27

Author: Cecilia Gimenez, M.D., Nora Morgenstern, M.D.
North Shore-Long Island Jewish Health System, Department of Pathology, Lake Success, New York

Reviewer: Dr Laura Tabatabai, Assistant Professor of Pathology, University of California San Francisco, USA

A 90 year old male with history of a right renal mass presented with a pancreatic nodule. An endoscopic ultrasound-guided needle aspiration was performed. 7 Static images (3 DQ, 3 PAP-stained and 1 H&E cell block slide) of the direct smear are provided.

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Fig 1 (Diff Quick Stain x100)
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Fig 2 (Diff Quick Stain x400)
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Fig 3 (Diff Quick Stain x400)
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Fig 4 (Papanicolaou Stain x200)
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Fig 5 (Papanicolaou Stain x400)
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Fig 6 (Papanicolaou Stain x1000)
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Fig 7 (H&E cell block)

What is your diagnosis?