Qap (Anatomical Pathology) 

QAP Peer Review

AP336
Case History: F/46. Pancreatic mass excision
Intended diagnosis: Solid-pseudopapillary neoplasm. Contributed by:MW
Code Diagnosis Comment Score
anonymous Solid-pseudopapillary neoplasm of pancreas (100 %) nil  1000
anonymous Solid-pseudopapillary neoplasm of pancrea nil  100
anonymous SOLID PSEUDOPAPILLARY NEOPLASM (100%) nil  100
anonymous Solid pseudopapillary neoplasm Confirm with immunohistochemical studies for CD10 and Beta catenin.  100
anonymous Solid-pseudopapillary tumor. Confirm by Beta-catenin nuclear and cytoplasmic +. Less likely ddx: Islet cell tumor, chromogranin+, synaptophysin+, Beta-catenin-. Remote ddx: acinar cell carcinoma. Beta-catenin-. Zymogen granules seen on PAS+/-D.  100
anonymous Solid pseudopapillary tumor (SPPT) nil  100
anonymous Pancreas - Solid pseudopapillary neoplasm 100% nil  100
anonymous Solid pseudopapillary tumour (100%) nil  100
anonymous Solid pseudopapillary neoplasm nil  100
anonymous Solid Pseudopapillary Tumor (Solid Pseudopapillary Neoplasm) nil  100
anonymous PANCREAS, excision - SOLID PSEUDOPAPILLARY TUMOUR nil  100
anonymous Solid pseudopapillary tumor nil  100
anonymous Solid-pseudopapillary tumour. (100%) nil  100
anonymous solid-pseudopapillary neoplasm with abundant hyaline globules (100%) nil  100
anonymous Solid pseudopapillary tumour of pancreas (100% Probability). nil  100
anonymous Solid pseudopapillary tumour of pancreas nil  100
anonymous Solid pseudodopapillary tumor (100%) nil  95
anonymous Pancreas - Differential diagnoses include solid pseudopapillary neoplasm (90%) and well-differentiated neuroendocrine tumour (10%). Further immunohistochemical staining with beta-catenin (abnormal nuclear and cytoplasmic staining), CD10 and CD56 to confirm the former diagnosis, and neuroendocrine markers such as chromogranin A and synaptophysin for the latter.  100