Week 478: Case 2

1. Presented by Ralph Hruban, M.D. and prepared by Hillary Elwood, M.D.

This patient underwent a Whipple operation for a cystic lesion in the head of the pancreas. The first two images are from pancreatic parenchymal margin "A," the subsequent images are from pancreatic parenchymal margin "B." The questions below relate to the question of what one should communicate with the surgeon when these margins are encountered on intraoperative frozen section of a patient with an intraductal papillary mucinous neoplasm. The answers assume the patient is otherwise a good candidate for the surgery proposed.