Case 30
Authors: 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 58 year old male presented with a 13 X 9 mm hypoechoic heterogeneous nodule located in the tail of the pancreas. The nodule was mixed solid and cystic, with distal enhancement. The patient underwent endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) to sample the mass. 12 Static images (3 DQ, 3PAP, 2 H&E and 4 IHC stained slides) of the direct smears are provided.
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| Figure 1 Diff Quick X100 |
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| Figure 2 Diff Quick Stain X 400 |
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| Figure 3 (Papanicolaou stain x100) |
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| Figure 4 Papanicolaou stain x400 |
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| Figure 5 (Papanicolaou stain x1000) |
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| Figure 6 (Cell Block H&E X400) |
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| Fig 7 Ancillary studies of Synaptophysin, chromogranin, trypsin and lipase |
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