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. 2024 Jul 29;31(11):755–768. doi: 10.1002/jhbp.12056

TABLE 7.

Histological features relevant for the detection of EUS‐FNAB samples of PDAC. Reproduced from reference. 8

1. Overall low power appearance Necrotic debris in the background
Abundant detached atypical cells in the necrotic debris or clot
Numerous sheets of atypical cells
2. Structural atypia/abnormalities Irregular contour (ex. cribriform pattern)
Lack of uniformity of glandular formation
Luminal necrosis
3. Cellular atypia Enlarged nuclei
Irregular nuclear contour
Prominent nucleoli
Hyperchromatism
Anisonucleosis 4:1 within a single duct
Morphological heterogeneity of intracellular mucus
Easily identifiable mitotic figures
Clear or foamy cell change in the cytoplasm
4. Parenchymal invasion Haphazard (or irregular) arrangement of glands
Stromal desmoplasia