136


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.

case_30_image_1
Figure 1 Diff Quick X100
case_30_image_2
Figure 2 Diff Quick Stain X 400
case_30_image_3
Figure 3 (Papanicolaou stain x100)
case_30_image_4
Figure 4 Papanicolaou stain x400
case_30_image_5
Figure 5 (Papanicolaou stain x1000)
case_30_image_6
Figure 6 (Cell Block H&E X400)
case_30_image_7
Fig 7 Ancillary studies of Synaptophysin, chromogranin, trypsin and lipase

What is your diagnosis?