College of American Pathologists

2012 — September Case of the Month

Posted September 17, 2012


CAP Foundation Online Case of the Month

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A 23-year-old woman presented with vague abdominal discomfort and mild pain. A CT scan revealed a well-demarcated heterogeneous mass in the tail of her pancreas. The resection specimen was comprised of an 18.0 x 16.0 x 12.0 cm, 1698 g, well-circumscribed mass in the pancreatic tail. The mass was multinodular with yellow-tan areas mixed with small, hemorrhagic, purple-tan foci. On cut surface, the mass was partially cystic. The cystic areas contain serosanguinous fluid and were surrounded by yellow necrotic-appearing tissue.

The master list with the correct answer

  • Acinar cell carcinoma
  • Pancreatic endocrine neoplasm
  • Pancreatoblastoma
  • Poorly differentiated pancreatic adenocarcinoma
  • Solid-pseudopapillary neoplasm

Access Case Critique to view:

  • Appropriate diagnosis
  • Critique
  • References

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