FA. Pancreas (Mass)
B. Pancreas
C. Lymph node (Regional Lymph node)
DIAGNOSIS :
FA-C) Pancreas, laparoscopic spleen preserving distal pancreatectomy
NEUROENDOCRINE TUMOR, GRADE 1
(0.6*0.4*0.3cm)
And NEUROENDOCRINE MICROCARCINOMA 0.2CM IN GREATEST DIMENSION BODY OF PANCREAS,
with 1) confinement to pancreas
2) mitotic rate : <1/10 HPFs
3) KI-67 labeling index : 0.2% by automatic quantification
4) lymphovascular invasion : not identified
5) perineural invasion : not identified
6) tumor necrosis : not identified
7) no involvement of pancreas parenchymal resection margins
8) no metastasis in 3 lymph node (0/3)
(regional lymph node, 0/3)
serotonin : positive
somato statin : negative
synaptophysin : positive
KI-67 : Automatic quantification
FA(Lesion 1): 0.2% (13/4895)
Gross:
FA
1. Specimen : pancreas(mass)×1, 1cm in greatest dimension
2. Slide key: Totally embedded in one block
FDx: (Pancreas(mass)): Neuroendocrine tumor
B. Specimen status: Formalin fixed, previously disrupted
2. Procedure: Spleen preserving distal pancreatectomy
3. Specimen: Pancreas (10×3.5×1.4cm, 31.5gm)
4. Lesion:
An ill-defined ovoid mass (0.6*0.4*0.3cm) in body of pancreas
- Cut surface: grayish white, solid, firm without necrosis or hemorrhage
- Confinement to pancreas
5. Resection margin: Not involved
(safety margin: pancreas parenchymal , 8mm)
6. Other findings:
Remaining pancreas parenchyma: unremarkable
7. Photo(x5), BRC request(+), BRC sampling(-)
8. Ink code: blue - pancreas parenchymal resection margin
9. Slide keys: 10 cassettes (entire)
B1-10, entire pancreas.
C.
1. Specimen: Labeled "regional lymph node"
Multiple pieces of fibroadipose tissue (up to 1 cm in greatest dimension)
2. Slide key: 1 cassette (representative).
미리 너무 감사드립니다 🤧🤧🤧