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Slide Digitization by:

Sdn Bhd

September 8th, 2019 (Pancreatic Pathology)

Digital Slide Seminar 4:

Updates in Pancreatic Mucinous Neoplasm

Assoc. Prof. Dr. Wai Chin Foo

Case 1:

62-year-old female with an enlarging pancreatic tail cyst, markedly elevated CEA, and a clinical impression of a mucinous neoplasm. The cyst is resected (distal pancreatectomy).

 

 

Case 2:

57-year-old female with a history of right breast cancer with nodal metastasis. Post-operative evaluation identified a mass in the right lobe of the liver and a mass in the pancreas. The mass in the liver is biopsied.

 

Case 3:

72-year-old male with an incidental pancreatic body mass associated with dilatation of the distal main pancreatic duct. The mass is resected (distal pancreatectomy).

Case 4:

47-year-old female with vague abdominal pain and an encapsulated mass. The mass is enucleated.

Case 5:

81-year-old female with an incidental ill-defined pancreatic body mass associated with dilation of the distal main pancreatic duct. The mass abuts the splenic vein without encasement. No abutment or encasement of the artery identified. The mass is resected (distal pancreatectomy).

Case 6:

68-year-old male with pruritis and abnormal liver function tests. A pancreatic head mass associated with narrowing of the portosystemic confluence, occlusion of the superior mesenteric vein, and retroperitoneal/peripancreatic lymphadenopathy was seen on imaging. The mass is resected (pancreaticoduodenectomy) after five cycles of FOLFIRINOX.

Case 7:

60-year-old female with a pancreatic tail cyst and a clinical impression of a mucinous neoplasm. The cyst is resected (distal pancreatectomy).

Case 8:

61-year-old female with a gastric poorly cohesive signet ring cell adenocarcinoma found to have a cyst in the tail of the pancreas. The cyst is resected (distal pancreatectomy) during the subtotal gastrectomy.