Date of Presentation:1/20/2016

Attending pathologist: Wei Chen, M.D., Ph.D.

Presented by: Anil Parwani, M.D.

Prepared by: Mohammed Alsomali, M.D.

Organ:Pancreas

HISTORY:

65 years old female, being followed for pancreatic tail cyst (1.6 x 1.4 cm) for 5 years, now with mural nodule (0.5 cm) by endoscopic ultrasound.

Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue
Microscopic image possibly detecting cancerous areas in human tissue

Which of the following is the most likely diagnosis?

  1. Mucinous cystic neoplasm.
  2. Solid pseudopapillary tumor.
  3. Well-differentiated neuroendocrine tumor.
  4. Concomitant intraductal papillary mucinous neoplasm with well differentiated neuroendocrine tumor.
Concomitant intraductal papillary mucinous neoplasm with well differentiated neuroendocrine tumor.