Skip to content

We value your privacy

We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.

Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Abnormal pancreas in a 9 yr old DSH

Sonopath Forum

Sonopath Forum

Abnormal pancreas in a 9 yr old DSH

      • Weight loss and intermittent anorexia since July 2021. No vomiting or diarrhea.
      • Mild hyperglycemia, mild persistent ALP elevation
      • Abdominal ultrasound shows an enlarged, hypoechoic, pancreas with an irregular capsule and adjacent echogenic fat.  The liver shows increased echogenicity.  The gallbladder has a thickened, echogenic wall. The spleen is rounded in shape with normal parenchyma.
      • US guided FNA was performed on the liver and pancreas.  Liver cytology shows mild to moderate hepatic lipidosis.  
      • Pancreatic cytologys shows: “Minimally atypical pancreatic tissue without evidence of inflammation or necrosis;These results suggest a benign pancreatic nodular hyperplasia. A well differentiated pancreatic adenocarcinoma could be possible, but I would expect a mass lesion to be present rather than a more diffuse enlargement. If you clinically suspect carcinoma to be more likely and there is no obvious dissemination in the thorax or abdomen that would preclude surgical excision, please consider histopathological analysis.”
      • Just wondering what your thoughts are on this pancreas…Thanks!

Comments

rlobetti
November 9, 2021 at 7:23 am -

I would be concerned about

I would be concerned about pancreatic neoplasia. Would not expected nodular hyperplasia to result in the presenting clinical signs. Needs a Tru-cut/wedge biopsy for a specific answer.

Electrocute
November 9, 2021 at 1:49 pm -

Thank you Remo.

Thank you Remo.

EL
November 9, 2021 at 1:16 pm -

I agree on the tru cut bx on

I agree on the tru cut bx on this one ideally but fna may give some info. There is an inflammatory pattern around the capsule.

Electrocute
November 9, 2021 at 1:50 pm -

Thanks Eric.  An FNA was

Thanks Eric.  An FNA was already done.  Please see the pathologist’s comments in the original post.

EL
November 9, 2021 at 2:16 pm -

ah yes then core bx is the

ah yes then core bx is the way to go.

Subscribe

Leave a Reply