PMC5291710_01
Computed tomography showing a 7-cm complex PCL with multiple hepatic cystic lesions.
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F1
A computed tomography scan demonstrated a 7-cm complex pancreatic cystic lesion (PCL) along with multiple hepatic cystic lesions (Figure 1).
Endoscopic ultrasound showing a 7.1 x 6.7 cm anechoic cystic lesion with an irregularly thick wall and multiple mural nodules in the pancreatic body. No pancreatic duct dilatation or obvious communication with the main pancreatic duct was noted.
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F2
Endoscopic ultrasound (EUS) demonstrated a 7.1 cm x 6.7 cm anechoic cystic lesion with an irregularly thick wall and multiple mural nodules in the pancreatic body without obvious communication with the main pancreatic duct (Figure 2).
In vivo needle-based confocal laser endomicroscopy (nCLE) with large cells of unequal shapes and sizes (>20 mum) suggestive of a malignant process.
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France) revealed large cells of unequal shapes and sizes (>20 microm), suggestive of a malignant process (Figure 3). Fine-needle aspiration confirmed a diagnosis of pancreatic keratinizing squamous cell carcinoma (SCC) metastatic to liver with demonstration of irregular spindle-like cells, hyperchromatic cells, and dense keratin material from both the primary pancreatic and metastatic liver lesions (Figure 4).
A pancreas squamous cell carcinoma with a Papanicolaou stain (magnification 400x) showing 2 irregular spindle-like cells with heavy keratinized cytoplasm, one of which was hyperchromatic on the background of necrotic cellular debris and had dense blue keratin material.
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France) revealed large cells of unequal shapes and sizes (>20 microm), suggestive of a malignant process (Figure 3). Fine-needle aspiration confirmed a diagnosis of pancreatic keratinizing squamous cell carcinoma (SCC) metastatic to liver with demonstration of irregular spindle-like cells, hyperchromatic cells, and dense keratin material from both the primary pancreatic and metastatic liver lesions (Figure 4).