Residency Program - Case of the Month
September 2018 - Presented by Trevor Starnes, M.D.
Clinical History
A previously healthy adolescent male presents with one week of jaundice and abdominal pain. Liver enzymes are elevated, and a CBC is normal. Radiology imaging reveals an obstructing mass at the pancreatic head. A biopsy of the mass is obtained. Bone marrow biopsies and peripheral blood flow cytometry (not shown) are normal.
Images:
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Figure 1: Key MRI image showing mass in pancreatic head.
Figure 2: Biopsy of the pancreatic mass, 40x
Figure 3: Biopsy of the pancreatic mass, 400x
Figure 4: Immunohistochemical stain of mass for AE1/AE3, 40x
Figure 5: Immunohistochemical stain of mass for CD45, 40x
Figure 6: Immunohistochemical stain of mass for myeloperoxidase, 40x
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