Gastrointestinal Pathology for Medical II Students

Lab 1d Adenocarcinoma of the Pancreas continued (59000-80103)

Slide 4
This is a higher power view of a malignant gland.  It is lined by pleomorphic cells which pile-up to form secondary lumina (gland-within-gland formation).  Bridges of neoplastic epithelium grow across the major lumen of the gland (arrow).

 

malignant gland

Slide 5
At higher magnification, note the nuclear pleomorphism of the neoplastic cells lining the glands.

neoplastic cells

Slide 6
Perineural invasion is extremely common in carcinoma of the pancreas.  Unfortunately, infiltration into the peripancreatic fat, mesenteric vessels, duodenal wall, common bile duct, and other continguous structures such as the stomach, spleen, portal vein, peritoneal cavity is also common.  Regional lymph node metastases are almost always present at the time of diagnosis.

carcinoma o fpancreas

Digtal Legends for Labs/Cases
Lab 1
1.a | 1.b | 1.c | 1.d | 1.e | 1.f | 1.g | 1.h | 1.i | 1.j | 1.k | 1.l | 1.m
Lab 2
2.a | 2.b | 2.c | 2.d | 2.e | 2.f | 2.g | 2.h | 2.i | 2.j | 2.k | 2.l | 2.m
Lab 3
3.a | 3.b | 3.c | 3.d | 3.e | 3.f | 3.g | 3.h | 3.i | 3.j | 3.k | 3.l

Medical II


Updated March 2, 2007