case_images: PMC10123363_01
case_images: Pancreatic protocol CT scan showing pancreatic head lesion (marked in semicircular blue) causing dilatation of CBD. Lesion is placed between MPD (marked in linear blue) and CBD.
case_images: gat528759_f01.jpg
case_images: PMC10123363_01_gat528759_f01.jpg
case_images: F1
case_images: No suspicious lymph nodes or free fluid was noted, and there was no evidence of vascular or locoregional spread. (shown in Fig. 1).
case_images: Histopathology and immunohistochemistry of MINEN. a High power (x40) (H&E); tumor cells arranged in glandular pattern suggestive of adenocarcinoma component. b High power (x40) (H&E); tumor cells arranged in nesting pattern suggestive of NEN component. c Low power (x10); adenocarcinoma component of tumor strongly highlighted by PanCK immunohistochemistry marker. d Low power (x10); NEN component of tumor strongly highlighted by synaptophysin immunohistochemisty marker. e High power (x40); NEN component of tumor highlighted by chromogranin. f High power (x40); Ki 67 index <1%.
case_images: gat528759_f02.jpg
case_images: PMC10123363_01_gat528759_f02.jpg
case_images: F2
case_images: IHC staining showed that the tumor cells are synaptophysin+, chromogranin+, and PanCK+, and Ki 67 index was <2% (shown in Fig. 2a-d, f).