2.5.3 Pancreatic Cancer

Question 1

What is this an image of?

Answer 1

Adenocarcinoma with metastasis to lymph node

Question 2

What is this an image of?

Answer 2

Pancreatic carcinoma in situ

Question 3

What testing must you do to diagnose Pancreatic Adenocarcinoma?

Answer 3

CT, ERCP + cytopathology

Question 4

What is this an image of?

Answer 4

adenocarcinoma - desmoplastic reaction

Question 5

What are the most common areas of metastasis of pancreatic adenocarcinoma?

Answer 5

Lymph nodes and liver

Question 6

What is a Whipple procedure?

Answer 6

Question 7

What are the micro findings associated with pancreatic ductal carcinoma?

Answer 7

Question 8

Answer 8

Question 9

What cells most often give rise to pancreatic tumors?

Answer 9

Ductal cells

Question 10

Who is most often affected by pancreatic tumors?

Answer 10

60 - 80 yr olds

M = F

Question 11

What is the macro pathology of pancreatic adenocarcinoma?

Answer 11

Question 12

What are the clinical features of Pancreatic Ductal Adenocarcinoma?

Answer 12

Silent until it begins to impinge on adjacent structures

Common bile duct - leading to painless jaundice

Question 13

What is Trousseau syndrome?

Answer 13

Migratory thrombophlebitis, presents as swelling, erythema and tenderness in the extremities

Question 14

Answer 14

C

Question 15

What is this an image of?

Answer 15

Adenocarcinoma of the pancreas with perineural invasion

Question 16

Where is the most common location of the pancreas to be affected by adenocarcinoma?

Answer 16

Head of the pancreas

Question 17

Answer 17

False, it is showing neural invasion

Question 18

Why would the pancreas become hard from an adenocarcinoma?

Answer 18

It is a strong desmoplastic reaction