URMC Labs - Department of Pathology & Laboratory Medicine

Case 2

The patient is a 42-year-old male with past medical history of hypertension into present with right upper quadrant abdominal pain. CT of the abdomen showed a large pancreatic mass. Physical exam revealed a large mass in the submandibular region of the left neck. An FNA of this mass was performed. What is your diagnosis?

  1. Malignant lymphoma, high grade
  2. Metastatic carcinoma consistent with pancreatic primary
  3. Malignant melanoma
  4. Malignant lymphoma, low grade
  5. Reactive lymph node

Submandibular neck FNA Slide 1

Submandibular neck FNA Slide 1

Submandibular neck FNA Slide 2

Submandibular neck FNA Slide 2

Submandibular neck FNA Slide 3

Submandibular neck FNA Slide 3

Submandibular neck FNA Slide 4

Submandibular neck FNA Slide 4

  1. Malignant lymphoma, high grade
  2. Metastatic carcinoma consistent with pancreatic primary
  3. Malignant melanoma
  4. Malignant lymphoma, low grade
  5. Reactive lymph node

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