Difference between revisions of "Pancreas"
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(→Chronic pancreatitis: more) |
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===General=== | ===General=== | ||
*May be confused with ductal adenocarcinoma radiologically... and pathologically. | *May be confused with ductal adenocarcinoma radiologically... and pathologically. | ||
Plain film findings: | |||
*Calcifications. | |||
===Microscopic=== | ===Microscopic=== | ||
Features of | Features of chronic pancreatitis:<ref name=pmid16273946>{{Cite journal | last1 = Adsay | first1 = NV. | last2 = Bandyopadhyay | first2 = S. | last3 = Basturk | first3 = O. | last4 = Othman | first4 = M. | last5 = Cheng | first5 = JD. | last6 = Klöppel | first6 = G. | last7 = Klimstra | first7 = DS. | title = Chronic pancreatitis or pancreatic ductal adenocarcinoma? | journal = Semin Diagn Pathol | volume = 21 | issue = 4 | pages = 268-76 | month = Nov | year = 2004 | doi = | PMID = 16273946 }}</ref> | ||
*Preservation of lobular architecture - evenly spaced ductal units. | *Preservation of lobular architecture - evenly spaced ductal units. | ||
*Uniformly sized ductal elements. | *Uniformly sized ductal elements. | ||
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**Mitosis. | **Mitosis. | ||
**Necrotic cellular debris (intraluminal). | **Necrotic cellular debris (intraluminal). | ||
Notes: | |||
*Memory device give 'em '''''fair'''''' chance at a benign Dx: | |||
**Fat, adjacent to. | |||
**Arteriole, adjacent to. | |||
**Irregular ducts. | |||
**Random distribution of ducts/non-lobular arrangement. | |||
==See also== | ==See also== | ||