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Cystic Tum ors which are m ucinous M ucinous cystic neoplasm s Intraductal papillary m ucinous neoplasm s M ucinous cystic neoplasm s A lm ost alw ays arise in w om en O ften come up within the body or tail of the pancreas Essentially by no means come up from or contain the pancreatic duct system the epithelial lining is m ade up of colum nar m ucinous cells and the supporting strom a is mobile and has an ovarian strom al phenotype H istologically seems like ovarian strom a Expresses sim ilar m arkers (estrogen receptors, progesterone receptors) M ucinous cystic neoplasm s these tum ors may be benign, borderline or m alignant Benign: no epithelial dysplasia Borderline: epithelial dysplasia M alignant: invasive adenocarcinom a these tum or have m alignant potential and if at all possible surgical resection is suggested M ucinous cystic neoplasm s Severallarge cysts Tallcolumnarmucinousepith elium O variantype stroma Intraductal papillary m ucinous cystic neoplasm A rise m ore frequently in m en A rise m ore frequently within the head of pancreas A rise from and involve the m ajor and m inor pancreatic ducts the epithelial lining is com prised of m ucinous colum nar cells Can be benign, borderline or m alignant Thus have m alignant potential and should be resected Intraductal papillary m ucinous neoplasm Papillary projectionswith inadilated duct Dilated ductwith papillary projections Islet Cell Tum ors (Pancreatic Endocrine Tum ors or Pancreatic N euroendocrine Tum ors) N orm al pancreas Sm all groups of endocrine cells (Islets of Langerhans) w hich secrete horm ones similar to insulin, glucagon and gastrin IsletsofL angerh ans Pancreatic N euroendocrine Tum ors R are com pared to adenocarcinom a Clinical presentation M ay present w ith sym ptom s related to elevated horm one secretion H yperinsulinem ia causing hypoglycem ia H ypergastrinem ia causing increased gastric acid manufacturing and severe ulcers (ZollingerEllison syndrom e) M ay present as a nonfunctional (nonsecreting) m ass that is the m ost com m on Pancreatic endocrine tum or Pancreatic endocrine tum ors H istologic options/grow th patterns N ests R ibbons Solid Electronmicrograph ofapancreatic neuroendocrine tumorcellsh owing neurosecretory granules(arrows) the tip Parting phrases from Dr antibiotic allergy [url=https://www.dmb-hannover.de/classification/course75/buy-online-erithromycin-no-rx/index.html]cheap erithromycin 500mg online[/url]. 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     9. PROOFREAD, THEN PROOFREAD After additional
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