Breadcrumbs
Case of the Month: March 2025
Clinical history
A 55-year-old woman presented to the dermatologist with a four-month history of a distinctive pruritic, erythematous, vesicular rash on her extremities and perioral region. Over the past year, she experienced unintentional weight loss and intermittent gastrointestinal discomfort, and was recently diagnosed with type 2 diabetes mellitus. Laboratory tests revealed significant hyperglycemia. An abdominal CT scan showed a 3-cm, well-circumscribed mass in the pancreatic tail, with no evidence of metastatic spread.
Questions:
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What is your diagnosis?
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What are the cells of origin and the associated clinical syndromes?
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What is the most common genetic syndrome associated with this group of pancreatic tumors?
How to participate
Take a look at the images.
Anyone is welcome to try to solve the puzzle by commenting on the related post on our Instagram.
If you are a medical student at the University of Toronto, you can also:
If you do, you are in for a chance to win a $100 gift card! (UofT Med students only).



If you are a current medical student at U of T, you can register to join the January case of the month lecture online or in person and have a chance to win a $100 gift card!
You can also join the Special Interest Group in Laboratory Medicine to learn more about Laboratory Medicine.
Laboratory Medicine and the study of disease for medical students
