Quiz-summary
0 of 1 questions completed
Questions:
- 1
Information
Presented by Ralph Hruban, M.D. and prepared by Maryam Farinola M.D.
Case 3: This middle age woman with a history of gallstone pancreatitis She underwent pancreatoduodenectomy.
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading...
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
Results
Time has elapsed
Categories
- Not categorized 0%
- 1
- Answered
- Review
-
Question 1 of 1
1. Question
Week 176: Case 3
This middle age woman with a history of gallstone pancreatitis She underwent pancreatoduodenectomy.images/chronic pancreatitis case 3fig1.jpg
images/chronic pancreatitis case 3fig.jpg
images/chronic pancreatitis image 3.jpgCorrect
Answer: Chronic pancreatitis
Histology: The pancreas is fibrotic and there is significant loss of acinar tissue. A collection of neuroendocrine cells adjacent to a nerve is seen.
Discussion: As discussed in case #1, very rarely one can see a benign gland adjacent to a nerve in the pancreas. This is also true for endocrine cells. In rare cases of chronic pancreatitis one can see collections of endocrine cells (islets of Langerhans) adjacent to nerves. This feature should therefore not be used as the sole criterion for distinguishing between a reactive process and an endocrine neoplasm.
Incorrect
Answer: Chronic pancreatitis
Histology: The pancreas is fibrotic and there is significant loss of acinar tissue. A collection of neuroendocrine cells adjacent to a nerve is seen.
Discussion: As discussed in case #1, very rarely one can see a benign gland adjacent to a nerve in the pancreas. This is also true for endocrine cells. In rare cases of chronic pancreatitis one can see collections of endocrine cells (islets of Langerhans) adjacent to nerves. This feature should therefore not be used as the sole criterion for distinguishing between a reactive process and an endocrine neoplasm.
