By Fiona Campbell, Caroline S. Verbeke (auth.)
Pathology of the Pancreas: a pragmatic Approach covers the entire diagnostic entities in grownup pancreatic pathology, offering large illustrations and tables to help the pathologist on the time of diagnostic reporting of histological and cytological specimens. power pitfalls and mimics in pancreatic pathology are highlighted and illustrated, and information is supplied concerning find out how to realize and steer clear of them.
Pathology of the Pancreas: a pragmatic Approach allows the pathologist to acknowledge many of the pathological entities and supply the main details of their pathology stories, that is useful for the person patient’s additional administration. it truly is in keeping with the newest diagnostic algorithms, foreign consensus directions, and platforms for ailment type, staging and grading. medical info can be integrated, the place it will be important for the multidisciplinary group administration discussion.
Pathology of the Pancreas: a realistic Approach is a bench publication for daily use beside the microscope and offers the diagnostic pathologist with a complete, well-illustrated and greatly cross-referenced method of pancreatic pathology.
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Additional info for Pathology of the Pancreas: A Practical Approach
Example text
Regarding the assessment of the margin status, it is important to note that the entire surface of the pancreatic head can be inspected in every specimen slice (Fig. 4). The combination of these advantages not only allows the exact identification of the 3-dimensional localization and extension of the tumor in the specimen, it also facilitates accurate margin assessment [2–4]. The proximity of the tumor to the various resection margins can be examined in detail in every specimen slice. In some countries and pancreatic cancer centers, the axial specimen slicing technique has been accepted as an integral part of the national recommendations for the handling of pancreatoduodenectomy specimens [5, 6].
The latter is not an uncommon F. S. 1007/978-1-4471-2449-8_3, © Springer-Verlag London 2013 problem, as the tumor is often invisible on external specimen inspection and may not be identifiable on palpation due to concomitant fibrosis of the surrounding pancreatic tissue. The following findings may be helpful in locating the tumor: • Irregularity of the specimen surface: bulging of the pancreatic surface, retraction of the groove of the superior mesenteric vein (SMV groove), and adherence to the pancreas of a segment of SMV or other structures or organs.
15 Lymph nodes around the extrapancreatic common bile duct: the extrapancreatic bile duct at the junction with the cystic duct is surrounded by large reactive lymph nodes Fig. 16 Gastroduodenal artery: this artery is always included in the anterior peripancreatic fat of pancreatoduodenectomy specimens (arrow). 4 Lymph Nodes Lymph nodes are present throughout the layer of soft tissue that envelops the pancreatic head and the extrapancreatic common bile duct. In Whipple’s resection specimens, lymph nodes may also be contained in the infrapyloric and perigastric adipose tissues.
