A 76 year old man presented with a history of 3 months weight loss and recent onset of jaundice associated with pruritus, steatorrhoea and dark urine.
The pancreas has been sliced longitudinally and two slices of pancreas have been mounted to display the cut surface. There is a pale grey tumour mass 5 x 3 cm in diameter in the pancreatic head. The tumour is poorly circumscribed and contains a central cavity 10 to 15 mm in diameter, probably due to focal tumour necrosis, fibrosis. Histologically this was an adenocarcinoma of the head of the pancreas with focal necrosis and fibrosis.