Nelson P, G, L Path Objectives

Question 1

Pancreatic:
agenesis
divisum
annular
ectopic

Answer 1

agenesis: does not form
divisum: dorsal and ventral pancreatic ducts don’t fuse -> usually benign, chronic pancreatitis possible
annular: ring-like band of pancreatic tissue encircling duodenum -> obstruction
ectopic: often in Meckel’s diverticulum

Question 2

Chronic pancreatitis may lead to

Answer 2

exocrine pancreatic insufficiency

Question 3

Type I autoimmune pancreatitis associated with

Answer 3

IgG4-related disease

Question 4

IgG4-related disease path

Answer 4

fibroinflammatory condition characterized by tumefactive lesions, lymphoplasmacytic infiltrate, IgG4-positive plasma cells

Question 5

Pancreatic pseudocyst causes

Answer 5

acute pancreatitis

trauma

Question 6

Serous cystoadenoma
Mucinous cystic adenoma/adenocarcinoma
intraductal papillary mucinous neoplasm

Answer 6

Serous cystoadenoma: small w/ clear serous
Mucinous cystic adenoma/adenocarcinoma: large, mucin filled–benign of malignant
intraductal papillary mucinous neoplasm: benign or malignant, arises from ducts

Question 7

Pancreatic cancer is # what killer in US due to cancer

Answer 7

4

Question 8

Pancreatic carcinoma most common type

Answer 8

pancreatic exocrine carcinoma
ductal cell
spreads quickly –> frequently unresectable

Question 9

Whipple procedure

Answer 9

resect head of pancreas, pylorus, and duodenum
attach pancreas to blind end of bowel
attach bile duct to bowel
distally attach stomach to slit in bowel

Question 10

Phryian cap of gallbladder

Answer 10

normal anatomical variant

confused w/ stones

Question 11

Stone types

Answer 11

cholesterol: fat fertile females over forty
pigment: chronic hemolysis

Question 12

Choledocholilithiasis

Answer 12

hardening of galbaldder

Question 13

Chronic cholecystitis etiology

Answer 13

super-concentrated bile or repeat acute

Question 14

Porcelain gallbladder

Answer 14

2˚ to chronic cholecytisits

Question 15

Adenomyoma of gallbaldder

Answer 15

intramural thickening, not true neoplasm

Question 16

Gallbladder carinoma type

Answer 16

adenocarcinoma usually

spreads quickly

Question 17

Cholangiocarcinomas: 3 types

Answer 17

intrahepatic
perihilar
distal extrahepatic

Question 18

Periampullary carcinoma

Answer 18

carcinoma of extrahepatic bile ducts