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.

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.