Fine Needle Aspiration Cytology · Pathology

In an FNA of the pancreas, finding 'mucin-rich' fluid with low cellularity should raise suspicion for:

  1. Serous cystadenoma
  2. Pancreatic ductal adenocarcinoma
  3. Mucinous cystic neoplasm
  4. Chronic pancreatitis
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Correct answer: Mucinous cystic neoplasm

Mucinous cystic neoplasms (MCN) and Intraductal Papillary Mucinous Neoplasms (IPMN) yield thick, mucoid material. Cytology combined with biochemical testing of the fluid (e.g., CEA levels) is used to assess the risk of malignancy.

Difficulty: Medium Question 14 of 20

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