Pancreatic Tumors

Pancreatic Tumors
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Описание книги

The outstanding feature of this publication is that it illustrates in detail the broad range of pancreatic lesions most likely to be encountered on fine needle aspiration of the pancreas, incorporating ancillary testing and differential diagnoses. Detailed descriptions of the cytological features of nonneoplastic entities, ductal and nonductal primary neoplasms, nonneoplastic and neoplastic cystic lesions, and secondary tumors and mesenchymal lesions are included. A multidisciplinary authorship has created a well-rounded presentation of the clinical, imaging, and histopathological features of each lesion. A chapter on specimen processing provides guidance on cytological preparation of samples from solid and cystic lesions. This monograph is written for cytotechnologists, general pathologists, and cytopathologists who work with pancreatic fine needle aspiration in their practice. It is also a useful guide to pancreatic cytology for advanced endoscopists, surgeons, and oncologists who evaluate, manage, and treat patients with pancreatic masses.

Оглавление

Группа авторов. Pancreatic Tumors

Monographs in Clinical Cytology

Pancreatic Tumors

Contents

Preface

Introduction to Pancreatic Pathology and Fine-Needle Aspiration Cytology

Abstract

Demographics of Pancreatic Tumors

Pancreatic Tumor Classification

History and Current Concepts of Fine-Needle Aspiration Cytology of Pancreatic Tumors

Accuracy of FNA in Pancreatic Tumors

Rapid On-Site Evaluation

Papanicolaou Society of Cytopathology Guidelines for Pancreatobiliary Cytology. Summary of the Guidelines

Recommendations for Clinical Evaluation, Imaging Studies, Indications for Cytologic Study, and Preprocedural Requirements for Pancreatic FNA

Techniques for Cytological Sampling of Pancreatic Lesions

Standardized Terminology and Nomenclature

FNA Biopsy Follow-Up and Treatment Options for Patients with Pancreatobiliary Lesions

Non-Diagnostic

Negative

Atypical

Neoplastic: Benign

Neoplastic: Other

Suspicious

Positive/Malignant

Utilization of Ancillary Studies in the Cytologic Diagnosis of Pancreatic Lesions

Algorithmic Approach to Cytological Evaluation of Pancreatic Masses

Disclosure Statement

References

Processing of Fine-Needle Aspiration Specimens from Pancreatic Lesions

Abstract

Processing of Cytology Samples from Pancreatic Solid Masses

Smears

Rapid On-Site Evaluation

Performing ROSE

Stains

Collection Media

Cell Blocks

Processing of Cytology Samples from Pancreatic Cystic Lesions

Next-Generation Biopsy Devices

Disclosure Statement

References

Imaging of Pancreatic Tumors

Abstract

Imaging Techniques

Approach to Imaging Evaluation

Solid Lesions

Cystic Lesions

Disclosure Statement

References

Normal Components and Contaminants

Abstract

Normal Anatomy

Normal Pancreatic Components. Ductal Cells

Cytology

Key Cytological Features

Acinar Cells

Cytology

Key Cytological Features

Islet Cells

Cytology

Key Cytological Features

Gastrointestinal Contaminant

Gastric Contaminant

Cytology

Key Cytological Features

Duodenal Contaminant

Cytology

Key Cytological Features

Squamous Cell Contaminant

Cytology

Key Cytological Features

Mesothelial Contaminant. Overview

Cytology

Key Cytological Features

Liver Contaminant. Hepatocytes

Cytology

Key Cytological Features

Bile Duct Cells

Cytology

Key Cytological Features

Disclosure Statement

References

Non-Neoplastic Masses of the Pancreas

Abstract

The Pancreatitides

Acute Pancreatitis

Key Cytologic Features

Ancillary Studies

Differential Diagnosis

Chronic Pancreatitis

Key Cytologic Features

Ancillary Studies

Differential Diagnosis

Autoimmune Pancreatitis

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Paraduodenal/Groove Pancreatitis

Key Cytological Features

Ancillary Studies

Differential Diagnosis of All the Pancreatitides

Recognizing AIP

Reactive Atypia versus Adenocarcinoma

Intrapancreatic Spleen

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Pancreatic Abscess

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Disclosure Statement

References

Non-Neoplastic and Neoplastic Cysts of the Pancreas

Abstract

Multimodal Approach to Pancreatic Cyst Diagnosis

Clinical

Imaging

Cytological Evaluation

Ancillary Testing

Biochemical Analysis

Immunohistochemistry

Molecular

Non-Neoplastic Cysts. Ductal Retention Cyst

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Pseudocyst

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Squamoid Cyst of Pancreatic Ducts

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Lymphoepithelial Cyst

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Foregut Cyst

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Neoplastic Cysts. Serous Cystadenoma

Key Cytological Features

Ancillary Studies

Differentia Diagnosis

Preinvasive Precursors

Mucinous Cystic Neoplasm

Key Cytological Features

Ancillary studies

Differential Diagnosis

Intraductal Papillary Mucinous Neoplasm

Key Cytological Features

Ancillary Testing

Differential Diagnosis of Mucinous Cysts

Intraductal Oncocytic Papillary Neoplasms

Key Cytological Features

Ancillary Testing

Differential Diagnosis

Solid Neoplasms with Cystic Degeneration

Non-Epithelial Cysts. Lymphangioma

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Reporting of Pancreatic Cysts

Disclosure Statement

References

Pancreatic Ductal Adenocarcinoma

Abstract

Clinical Presentation

Imaging Studies

Ductal Adenocarcinoma, Conventional Type

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Morphological Patterns or Variations of PDAC, Conventional Type

PDAC with Vacuolated Cell Pattern

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

PDAC with Foamy Gland Pattern (or Foamy Gland Adenocarcinoma)

Cytology

Key Cytological Findings

Ancillary Studies

Differential Diagnosis

Related Carcinomas

Adenosquamous Carcinoma

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Undifferentiated (Anaplastic) Carcinoma

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Undifferentiated Carcinoma with Osteoclast-Like Giant Cells

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Colloid (Mucinous Non-Cystic) Carcinoma

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Signet Ring Cell Carcinoma

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Medullary Carcinoma

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Hepatoid Carcinoma

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Oncocytic Carcinoma

Histology

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Disclosure Statement

References

Non-Ductal Tumors of the Pancreas

Abstract

Pancreatic Neuroendocrine Tumor

Clinical Presentation

Imaging Studies

Histology

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Poorly Differentiated NECs

Clinical Presentation

Histology

Cytology

Key Cytological Features

Large Cell NEC:

Ancillary Studies

Differential Diagnosis

Mixed Neuroendocrine-Non-Neuroendocrine Neoplasms

Acinar Cell Carcinoma

Clinical Presentation

Imaging

Histology

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Mixed Acinar NECs

Solid Pseudopapillary Neoplasm

Clinical Presentation

Imaging

Histology

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Pancreatoblastoma

Clinical Presentation

Imaging

Histology

Cytology

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Disclosure Statement

References

Metastases, Secondary Tumors, and Lymphomas of the Pancreas

Abstract

Clinical and Imaging Presentation

Cytological Diagnosis of Pancreatic Metastases

Cytology and Ancillary Studies of Pancreatic Metastases from Solid Tumors

Renal Cell Carcinoma

Key Cytological Features

Ancillary Studies

Differential Diagnosis

Lung Cancer

Key Cytological Findings

Ancillary Studies

Differential Diagnosis

Gastrointestinal Adenocarcinomas

Key Cytological Findings

Ancillary Studies

Differential Diagnosis

Breast Carcinoma

Key Cytological Findings

Ancillary Studies

Differential Diagnosis

Gynecological Primaries

Key Pathological Findings

Ancillary Studies

Differential Diagnosis

Skin Primaries: Melanoma

Key Pathological Findings

Differential Diagnosis

Merkel Cell Carcinoma

Key Pathological Findings

Ancillary Studies

Differential Diagnosis

Less Common Carcinomas

Rare and Non-Epithelial Malignancies

Hematopoietic Malignancies. Overview

Key Pathological Findings

Ancillary Studies

Differential Diagnosis

Disclosure Statement

References

Mesenchymal Tumors of the Pancreas

Abstract

Fibroblastic and Myofibroblastic Tumors. Inflammatory Myofibroblastic Tumor

Histology

Cytology

Key Cytological Features

Solitary Fibrous Tumor

Histology

Cytology

Key Cytological Features

Schwannoma. Overview

Histology

Cytology

Key Cytological Features

Leiomyoma and Leiomyosarcoma. Overview

Histology

Cytology

Key Cytological Features

Tumors of Perivascular Epithelioid Cells. Overview

Histology

Cytology

Key Cytological Features

Gastrointestinal Stromal Tumors. Overview

Histology

Cytology

Key Cytological Features

Other Mesenchymal Tumors

Disclosure Statement

References

Author Index

Subject Index

Отрывок из книги

Pancreatic Tumors

Series Editor

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33Tanaka M, Fernández-Del Castillo C, Kamisawa T, Jang JY, Levy P, Ohtsuka T, Salvia R, Shimizu Y, Tada M, Wolfgang CL: Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology 2017;17:738–753.

34Howard TJ, Chin AC, Streib EW, Kopecky KK, Wiebke EA: Value of helical computed tomography, angiography, and endoscopic ultrasound in determining resectability of periampullary carcinoma. Am J Surg 1997;174:237–241.

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