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Presented by Ralph Hruban, M.D. and prepared by Jeffrey T. Schowinsky, M.D.
Case 3: This elderly woman with anemia was found to have a 2 cm gastric mass on endoscopy.
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Question 1 of 1
1. Question
Week 269: Case 3
This elderly woman with anemia was found to have a 2 cm gastric mass on endoscopy.images/41706RH3a.jpg
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images/41706RH3d.jpgCorrect
Answer: Ectopic pancreas
Histology: This well-defined nodule is composed of mature pancreatic parenchyma including ducts, acini, and islets of Langerhans.
Discussion: Ectopic pancreata can mimic a neoplasm. In addition, they can occasionally lead to local bleeding, which may lead to anemia. The entity is readily diagnosed if one keeps it in mind. While many cases, such as this case, are composed of both mature endocrine and exocrine components, some cases are composed entirely of acinar and ductal cells.
Incorrect
Answer: Ectopic pancreas
Histology: This well-defined nodule is composed of mature pancreatic parenchyma including ducts, acini, and islets of Langerhans.
Discussion: Ectopic pancreata can mimic a neoplasm. In addition, they can occasionally lead to local bleeding, which may lead to anemia. The entity is readily diagnosed if one keeps it in mind. While many cases, such as this case, are composed of both mature endocrine and exocrine components, some cases are composed entirely of acinar and ductal cells.
