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Case 28

Author: Tania Jhamb, D.D.S., Nora Morgenstern, M.D., Cecilia Gimenez, 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

Clinical History:

A 21 year old female underwent endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of a 36 mm complex (cystic and solid) lesion located in the pancreatic head and neck (figure 1). Cytology smears and cell block preparation were prepared.

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Figure 1. Magnetic resonance cholangiopancreatography
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Figure 2. Diff-Quik staining
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Figure 3. Papanicolaou Stain
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Figure 4. Histopathology
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Figure 5. Immunohistochemistry

What is your diagnosis?