College of American Pathologists

2011 — July Case of the Month

Posted July 12, 2011


CAP Foundation July 2011 Online Case of the Month

View case with:
PC users: ImageScope
First-time use of ImageScope?
* Download (required)

Why use ImageScope?

ImageScope offers many additional features including:

• Ability to view multiple slides
  concurrently; synchronize

• Facility to author annotations.

• Capability to run analysis
  algorithms, and display results.

• Modify image brightness,
  contrast, color balance,

• Generally faster and more

MAC/PC Users: WebViewer

A 64-year-old man was noted to have icteric sclera but had no abdominal symptoms. CT scans revealed a pancreatic mass with both solid and cystic components. ERCP revealed dilatation of the distal pancreatic ductal system in the head of the pancreas. On gross examination, the main pancreatic duct was dilated, filled with mucin and contained papillary projections. A 2.5 cm tumor mass extended from one aspect of the duct into the pancreatic parenchyma.

The master list with the correct answer

  • Intraductal papillary mucinous carcinoma, non-invasive
  • Mucinous carcinoma arising in an intraductal papillary mucinous neoplasm
  • Mucinous cystic neoplasm
  • Pancreatic ductal adenocarcinoma, usual type
  • Serous microcystic adenoma

Access Case Critique to view:

  • Appropriate diagnosis
  • Critique
  • References

Your input is valued - please submit your feedback so that we may continue to optimize this program.