Qap (Anatomical Pathology) 

QAP Peer Review

AP167
Case History: M71, presented with obstructive jaundice. CT scan suggested pancreatic head mass.
Intended diagnosis: Chronic sclerosing pancreatitis. Contributed by:MST
Code Diagnosis Comment Score
anonymous Chronic pancreatitis (sclerosing lymphoplasmacytic pancreatitis) (100%) nil  100
anonymous well differentiated ductal adenocarcinoma nil  10
anonymous Lymphoplasmacytic sclerosing pancreatitis (100%) nil  100
anonymous chronic pancreatitis 100% nil  80
anonymous Lymphoplasmacytic sclerosing pancreatitis nil  100
anonymous LYMPHOPLASMACYTIC SCLEROSING PANCREATITIS. 100% Suggest checking autoimmune markers.  100
anonymous Lymphoplasmacytic sclerosing pancreatitis. (100%) nil  100
anonymous Inflammatory change, no neoplasm seen in this biopsy. Chronic pancreatitis 95% Inflammatory pseudotumour 5% Need to consider sampling effect. Was the tissue from the head of pancreas?  85
anonymous Chronic pancreatitis with features compatible with lymphoplasmacytic sclerosing pancreatitis, 100% Lymphoplasmacytic sclerosing pancreatitis (LPSP) is associated with autoimmune disease. Also it is thought to be related to fibrosclerosing disorders.  100
anonymous Chronic pancreatitis, 100%. nil  80
anonymous chronic pancreatitis, amyloid deposit nil  80
anonymous Chronic Pancreatitis consistent with obstruction (100%) nil  80
anonymous Chronic pancreatitis (lymphoplasmacytic sclerosing pancreatitis) 100% nil  100
anonymous Lymphoplasmacytic sclerosing pancreatitis nil  100
anonymous Autoimmune (lymphoplasmacytic sclerosing) pancreatitis nil  100
anonymous Chronic pancreatitis (100% probability) nil  80
anonymous Chronic pancreatitis (100%) Lymphoplasmacytic sclerosing pancreatitis, which is characterized by presence of similar inflammatory changes in biliary tract as well as steroid responsiveness, has to be considered. Check serum markers to rule out concomitant autoimmune diseases.  100