Pancreatic Pathology Online

Reporting of Distal Pancreatectomy Specimen 

Dr Sampurna Roy MD                  July 2016

 

Distal Pancreatectomy is usually carried out for endocrine tumours and for exocrine neoplasms that arise in the body and tail of the pancreas.

Nesidioblastosis may be found on a partial pancreatectomy specimens taken for a suspected Insulinoma , and may be inapparent  macroscopically.

Some insulinomas are very small and the entire specimen may need to be embedded in order to find the tumour.

Microscopic report:

The report should comment on :

 - The tumour type:  endocrine, adenocarcinoma, cystadenocarcinoma, cystadenoma ;

 - Perineural and vascular invasion;

 - Extrapancreatic structures involved:  spleen, lymph nodes;

 - Completeness of excision.

For endocrine neoplasms the report should also state the:

- Pattern of growth: trabecular, moire silk, packeted, diffuse;

- Immunostaining characteristics ;

- Appearance of islets away from the tumour :  hyperplasia, amyloid deposition.  

 

 

Dr Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)


 

 

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