The sarcomeres of the “cardiac muscle fibers” have in prin ciple the identical striation pattern as the striated skeletal muscle fibers (cf. The authors acknowledged the current limitations of this therapy, including the priority for occluding small but important perforators with the struts of the stent. Cystic Tum ors which might be 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 in the body or tail of the pancreas Essentially never 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 cellular and has an ovarian strom al phenotype H istologically looks like ovarian strom a Expresses sim ilar m arkers (estrogen receptors, progesterone receptors) M ucinous cystic neoplasm s these tum ors can 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 in any respect potential 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 regularly 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 ought to 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 teams of endocrine cells (Islets of Langerhans) w hich secrete horm ones corresponding 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 associated to elevated horm one secretion H yperinsulinem ia inflicting hypoglycem ia H ypergastrinem ia causing increased gastric acid manufacturing and extreme ulcers (ZollingerEllison syndrom e) M ay current 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/develop th patterns N ests R ibbons Solid Electronmicrograph ofapancreatic neuroendocrine tumorcellsh owing neurosecretory granules(arrows) the top Parting phrases from Dr herbs nutrition
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