By Syed Z. Ali MD, Yener S. Erozan MD, Ralph H. Hruban MD
Medical and radiologic examinations can't reliably distinguish benign or inflammatory pancreatic disorder from carcinoma. The elevated use of pancreatic high quality needle aspiration (FNA) besides advances in imaging recommendations and the creation of endoscopic ultrasound counsel have ended in much better detection and popularity of pancreatic plenty. for that reason, pancreatic cytopathology is quintessential to exact pre-operative analysis but it's a difficult diagnostic quarter with a number of strength pitfalls and "look-alike" lesions. Skillful reputation and an understanding of the constraints of the strategy are crucial in fending off misdiagnosis of those risky lesions.
Atlas of Pancreatic Cytopathology with Histopathologic Correlations fills a void in present pathology literature. With 450 high-resolution photos, together with pictures of histopathologic and radiologic good points, this useful atlas offers an built-in method of diagnostic cytopathology that might aid general practitioner cytopathologists, cytotechnologists, and pathologists stay away from capability pitfalls and "look-alike" lesions. Written via famous specialists within the box, the huge high-resolution colour pictures of the attribute gains of pancreatic ailment are awarded with unique descriptions that hide vintage positive aspects, diagnostic clues, and power pitfalls.
Atlas of Pancreatic Cytopathology with Histopathologic Correlations is a beneficial source for the professional cytopathologist, basic and surgical pathologists, pathology trainees, and cytotechnologists.
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Additional resources for Atlas of Pancreatic Cytopathology: With Histopathologic Correlations
13 — Lymphoplasmacytic sclerosing pancreatitis (autoimmune pancreatitis). A mixed inflammatory cell infiltrate composed of lymphocytes, plasma cells, and occasional eosinophils is centered on a pancreatic duct. The inflammatory cell infiltrate in other forms of pancreatitis is typically more diffuse. Intraluminal concretions and calculi are more typical of alcoholic pancreatitis. 14 — Lymphoplasmacytic sclerosing pancreatitis (autoimmune pancreatitis). Venulitis, as shown here, is often best appreciated at the periphery of the inflammatory process.
16 — Hamartoma. This mass-forming lesion is composed of disorganized mature ductal and stromal elements. Hamartomas can be cystic or solid and are distinguished from chronic pancreatitis because they are localized, form a mass, and lack islets of Langerhans. 17 — Heterotopic spleen in the tail of the pancreas. This nodule of splenic tissue (bottom) is present in the normal pancreas (top). While these lesions can clinically mimic a well-differentiated endocrine neoplasm, the microscopic diagnosis is usually obvious.
An intense reactive spindle cell proliferation, composed of fibroblasts, extravasated red blood cells, and scattered inflammatory cells, is associated with a denuded cyst. This spindle cell proliferation can be so exuberant as to mimic a spindle cell neoplasm. 40 — Paraduodenal wall cyst (groove pancreatitis). A nonspecific picture with histiocytes and inflammatory cells in a mucoid background is present. No other cellular component is seen. The diagnosis can be difficult and is dependent on excluding other nonneoplastic entities (such as pseudocyst) and cystic neoplasms.