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Difference between revisions of "Pancreas"
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→Classification IMPT: format
m (→Adenoma-carcinoma sequence: sm fix) |
(→Classification IMPT: format) |
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*Carcinoma. | *Carcinoma. | ||
Notes: | |||
*No ovarian like stroma. | *No ovarian like stroma. | ||
* | *Tumour in duct. | ||
*Patient usually not jaundiced... as no obstruction. | |||
* | |||
*Often diabetes... as pancreas is destroyed. | *Often diabetes... as pancreas is destroyed. | ||
Gross | ===Gross=== | ||
*Multiple cystic spaces. | *Multiple cystic spaces. | ||
===Microscopic=== | |||
*Some places -- fronds of benign looking mucin producing epithelium. | *Some places -- fronds of benign looking mucin producing epithelium. | ||
*No ovarian type stroma underneath. | *No ovarian type stroma underneath. | ||
Notes: | |||
*If no viable cells in the mucin then not cancer. | *If no viable cells in the mucin then not cancer. | ||
**Mucin under pressure can disect through the tissue. | **Mucin under pressure can disect through the tissue. | ||
| Line 346: | Line 344: | ||
**If intralobular dilated ducts... carcinoma. | **If intralobular dilated ducts... carcinoma. | ||
*Hard to get a negative margin. | *Hard to get a negative margin. | ||
NB - any margin with mucin cells -- badness!!! | NB - any margin with mucin cells -- badness!!! | ||