Bobby's autopsy pictures


Heart.
Bobby

Left lung.
Bobby

Left lung.
Bobby

Heart.
Bobby

Pancreas.
Bobby

Pancreas.
Bobby

Pancreas.
Bobby

Liver.
Bobby

Liver.
Bobby

Kidney.
Bobby



Bobby's histopathlogy report


DESCRIPTION:

Spleen hemorrhagic with active EM erythropoiesis and will differentiated lymphoid tissue as lymph follicles.

Lung with atalectasis, oedema and emphysema.

Liver (2 pieces) with together 5 small (1mm) to large (5mm) foci of well differentiated exocrine pancreas tissue (metastasis). The rest of the liver sows some centrolobulary haemorrhages.

Pancreas with in this section at least 20 neoplastic foci surrounded by connective tissue capsules. The pre-existing pancreas tissue is pressed to the side. Between the neoplasia's haemorrhages and lymphoid infiltrates.

The adrenal very irregular with adenomatous changes and focal lymphoid infiltrates.

Intestines show a plasmacellular enteritis with 45% eosinophils.

In many of the renal glomeruli protein deposits on the basement membrane of the capillaries. And also in the medulla deposits on the basement membranes of tubuli.
In the interstitium many small interstitial mixed cellular infiltrates.

Large intestine with plasmacellular enteritis.

Lymph node no changes.

Another piece of liver with 9 mm pancreas tissue metastasis.

The heart dilated, especially left side with in the wall an area with scar tissue (fibrosis).

MORPHOLOGICAL DIAGNOSIS:

Insulinoma with metastasis to the liver.