Progenitor neural crest cells Embryonic celiac ganglion Endodermally derived epithelial cells originating from ventral primordium of pancreas (hamartomatous proliferation) Pancreatic tumor composed of ganglion-islet cell complexes Clinical Issues • Uncommon • 3rd-9th…
Nuclear staining with CAMTA1 immunohistochemistry • Tumors with YAP1-TFE3 Well-formed vascular channels, tumor cells with voluminous eosinophilic cytoplasm Nuclear staining with TFE3 immunohistochemistry Top Differential Diagnoses • Dense myxoid stroma and intracytoplasmic…
Cestode (tapeworm) with wide geographic distribution • E. granulosus (cystic form) and E. multilocularis (alveolar form) most commonly infect humans Etiology/Pathogenesis • Humans infected by exposure to contaminated feces of primary or…
Large areas of fat necrosis along with variable parenchymal necrosis Saponification Hemorrhage, vascular thrombosis • Mild acute pancreatitis is most often clinical (rather than morphologic) diagnosis Spotty peripancreatic or perilobular fat…
Most often seen in children Classic syndrome involves combination of resolving viral illness and salicylate therapy Etiology/Pathogenesis • Pathogenesis unknown • Mitochondrial injury is a key feature • Frequent antecedent viral infection • Salicylate…
Glandular component may contain conventional ductal-type, clear cell, or signet ring cell components Ancillary Tests • p63 is positive in squamous component • Mucin stain, CK7, CK20, CEA, and CA19-9 highlight adenocarcinoma…
Slightly dilated and irregular in shape Lined by single layer of bland endothelial cells • Secondary involutional changes in central portion • Peripheral cellular areas show proliferation of vascular channels in loose…
Varices, ascites if portal hypertension present Jaundice variably present • Cutaneous, gastrointestinal, neuroophthalmic, musculoskeletal, renal, hematological manifestations also common • Nonspecific elevations in transaminases, alkaline phosphatase • Plasma vitamin A levels may be…
Commonly implicated drugs: Anabolic steroids, oral contraceptives, prochlorperazine, thiabendazole, warfarin • Cholestatic hepatitis: Cholestasis with inflammation and hepatocellular damage Macrolide antibiotics (erythromycin), antipsychotics (chlorpromazine), numerous other drugs • Prolonged cholestasis/ductopenia: Cholestasis >…
Portal Tract Showing Paucity of Bile DuctsPortal tract in a case of chronic ductopenic rejection contains a hepatic artery and portal vein but no interlobular bile duct. Intimal Foam Cell…
