Qap (Anatomical Pathology) 

QAP Peer Review

AP298
Case History: M/65 Complex cystic lesion at uncinate process of pancreas
Intended diagnosis: Intraductal papillary mucinous neoplasm (IPMN), branch-duct type. Contributed by:MST
Code Diagnosis Comment Score
anonymous Intraductal papillary mucinous neoplasm (IPMN), (100%), branch-duct type, with low grade dysplasia nil  100
anonymous Mucinous cystic neoplasm with low grade dysplasia nil  50
anonymous Gastric type intraductal papillary mucinous neoplasm (IPMN), branch duct type nil  100
anonymous Intraductal papillary mucinous neoplasm, branch-duct type, low grade dysplasia 100% nil  100
anonymous Mucinous cystadenoma. More sampling to look for ovarian type stroma to confirm the diagnosis and also to rule out invasion and dysplasia. It is unusual for mucinous cystic tumor to occur in male and head of pancreas and without ovarian type stroma. Differential include periampullary duodenal wall cyst and intraductal papillary mucinous neoplasm. Correlation with imaging and ERCP studies are mandatory.  70
anonymous Intraductal papillary mucinous neoplasm, low-grade/non-invasive (100%) It may represent a branch duct-type IPMN and a cystic variant of IPMN.  100
anonymous Pancreas cystic lesion - Adenocarcinoma arising from intraductal papillary mucinous neoplasm (IPMN) 100% nil  50
anonymous Intraductal papillary mucinous neoplasm with low grade dysplasia extensive sampling to look for any high grade dysplasia or invasive malignancy  95
anonymous Intraductal papillary mucinous neoplasm 100% nil  95
anonymous Intraductal papillary mucinous neoplasm. nil  95
anonymous clinically complex cystic lesion at uncinate process of PANCREAS - INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM, intermediate-grade dysplasia nil  95
anonymous Intraductal papillary mucinous neoplasm nil  95
anonymous Pancreas: intraductal papillary mucinous neoplasm nil  95
anonymous intraductal papillary mucinous neoplasm, branch duct type, no stromal invasion seen (100%) nil  100
anonymous mucinous cystadenoma. 100% nil  50
anonymous intraductal papillary mucinous neoplasm nil  95
anonymous Intraductal papillary mucinous neoplasm 100% nil  95