IGHP

ICOM Series: Be the Chosen One! Share Your Best Case and get a chance to Win Free IGHP Membership with a Special Memento!

If you have encountered an interesting case, then be a Knowledge Pioneer! Share Your Expertise and Empower Fellow Members with Your Submission Today!.

Each published case will be acknowledged and is eligible for IGHP ICOM series award.

Make an Query

Interesting Case of the Month - (IGHP, ICOM) - November

Clinical History-

54-year-old male with abdominal pain and obstructive jaundice. Underwent EUS guided biopsy from the head mass.

From the images below identify the likely disease.

On endoscopy-

EUS- showed mass in head of pancreas

Microscopic Images-

Histology images showed small bowel mucosa with presence of a neoplasm composed sheets of cells.

Immunohistochemistry Performed-

Immunohistochemistry performed showed the atypical cells are negative on Synaptophysin, Chromogranin, CK7, TTF1, CDX2 with Ki67 index of 40-50%. IHC was positive for CK20 and GATA 3

Gata 3

CK20

Ki67

Synaptophysin

Diagnosis-

Neuroendocrine Tumor

Metastatic Urothelial Carcinoma

Insulinoma

Metastatic Breast Carcinoma

Case of the Month

Archives