PathWays Case Study for May 10

A 63-year-old woman presented 8 years ago to the emergency room with right-sided chest pain. A CT scan revealed a 1.8 cm ileal mass and multiple liver nodules. The small bowel mass and one liver nodule were resected at that time. She continued to develop liver nodules requiring arterial embolization, a left neck nodule, and pleural effusions. She eventually succumbed to her disease. At autopsy, she had multiple nodules throughout the liver, heart, lungs, peritoneum, spleen, and bone marrow.

Liver (top) and heart (bottom) gross and microscopic photomicrographs.
Liver (top) and heart (bottom) gross and microscopic photomicrographs.

Your Score:  

Your Ranking:  

Justin Juskewitch, M.D., Ph.D.

Justin Juskewitch, M.D., Ph.D.
Resident, Division of Anatomic and Clinical Pathology
Mayo Clinic





Dr. Joseph Maleszewski

Joseph Maleszewski, M.D.
Consultant, Division of Anatomic Pathology
Mayo Clinic
Associate Professor of Laboratory Medicine and Pathology and Associate Professor of Medicine,
Mayo Clinic College of Medicine
Follow him on Twitter: @joemaleszewski


April Josselyn

April Josselyn is a Marketing Associate at Mayo Medical Laboratories. She is the editor of Mayo Clinic PathWays and supports corporate communications strategies and internal communications. She has worked at Mayo Clinic since 2012. Outside of work, April enjoys the outdoors and being "hockey mom" for her two sports-crazed boys.


Shouldn’t the answer be
more than one.



Ok. Correct. !

Great case!

I had a neuro endocrine Tumor of the pancreas self contained. Sloan Kettering in nyc did the Whipple procedure on me. 7 “if the small intestine, 1/3if my pancreas, 2 lymph glands which were benign. The tumor was cancer. I thankfully survived the 8 hour operation. I have a module now on my right adrenal on the kidney. I do get flushing/sweats. I hope it is not cancer.

The histology is diagnostic of low-grade neuroendocrine carcinoma.

Comments are closed.