{"id":2297,"date":"2026-11-09T09:19:47","date_gmt":"2026-11-09T09:19:47","guid":{"rendered":"https:\/\/hcsp-iap.pk\/cases\/?post_type=portfolio&#038;p=2297"},"modified":"2026-11-11T00:22:51","modified_gmt":"2026-11-11T00:22:51","slug":"case-05-6","status":"publish","type":"portfolio","link":"https:\/\/hcsp-iap.pk\/cases\/monthly_cases\/case-05-6\/","title":{"rendered":"Case 05"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1w8yuh-08f36a95600abd90d2092cc86cde416b\">\n.avia-section.av-1w8yuh-08f36a95600abd90d2092cc86cde416b .av-parallax .av-parallax-inner{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2014\/09\/slider.png);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-1w8yuh-08f36a95600abd90d2092cc86cde416b .av-section-color-overlay{\nopacity:0.7;\nbackground-color:#0f0f0f;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-1w8yuh-08f36a95600abd90d2092cc86cde416b main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch av-parallax-section avia-bg-style-parallax av-section-color-overlay-active av-minimum-height av-minimum-height-custom av-height-custom  container_wrap sidebar_right'  data-section-bg-repeat='stretch' data-av_minimum_height_px='430'><div class='av-parallax' data-avia-parallax-ratio='0.3' ><div class='av-parallax-inner main_color avia-full-stretch'><\/div><\/div><div class=\"av-section-color-overlay-wrap\"><div class=\"av-section-color-overlay\"><\/div><div class='container av-section-cont-open' style='height:430px'><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-2297'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-guq97t-5b861596e00ea82e101207224da1b68e av_three_fourth  avia-builder-el-1  el_before_av_one_fourth  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mw8se3b1-1243c427fa49b6046a0385232d70b31b\">\n#top .av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b{\npadding-bottom:40px;\ncolor:#ffffff;\nfont-size:72px;\n}\nbody .av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b .av-special-heading-tag{\nfont-size:72px;\n}\n.av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b .av-subheading{\nfont-size:20px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mw8se3b1-1243c427fa49b6046a0385232d70b31b .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mw8se3b1-1243c427fa49b6046a0385232d70b31b av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-2  avia-builder-el-no-sibling  av-inherit-size'><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Case 05<\/h2><div class='av_custom_color av-subheading av-subheading_below'><p>Case contributed by: Prof . Dr Nadira Mamoon<br \/>\nMBBS, FCPS , FRCPath (UK)<br \/>\nConsultant Pathologist &amp;<br \/>\nChief of Pathology ( Enterprise)<br \/>\nShifa International Hospital<br \/>\nProfessor of Pathology<br \/>\nShifa College of Medicine<br \/>\nShifa Tameer -i -Millat university<br \/>\nIslamabad<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div  class='flex_column av-fevtux-b596979a6c08fdc8ccfd3ea648f0b049 av_one_fourth  avia-builder-el-3  el_after_av_three_fourth  avia-builder-el-last  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ehbu7d-9027dcc6fbb92a618e72999517db9844\">\n.avia-image-container.av-ehbu7d-9027dcc6fbb92a618e72999517db9844 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-ehbu7d-9027dcc6fbb92a618e72999517db9844 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-ehbu7d-9027dcc6fbb92a618e72999517db9844 av-styling- avia-align-center  avia-builder-el-4  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-2315 avia-img-lazy-loading-not-2315 avia_image ' src=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-300x294.jpg\" alt='' title='Picture'  height=\"294\" width=\"300\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-300x294.jpg 300w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-1030x1009.jpg 1030w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-768x752.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-1536x1505.jpg 1536w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-2048x2006.jpg 2048w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-36x36.jpg 36w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-1500x1469.jpg 1500w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Picture-705x691.jpg 705w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div><\/div><\/div><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='av_section_2'  class='avia-section av-czj3zd-6c611305fb0a82b1e0384cd9faafa41b main_color avia-section-default avia-no-border-styling  avia-builder-el-5  el_after_av_section  el_before_av_layout_row  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-2297'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-b4qx21-d5ee25cc3d16218fcbfc549ea5733cd2 av_one_full  avia-builder-el-6  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-v5vkp-ddd241173a0ae4ba514eec4d3ee95a4b\">\n#top .av-special-heading.av-v5vkp-ddd241173a0ae4ba514eec4d3ee95a4b{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-v5vkp-ddd241173a0ae4ba514eec4d3ee95a4b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-v5vkp-ddd241173a0ae4ba514eec4d3ee95a4b .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-v5vkp-ddd241173a0ae4ba514eec4d3ee95a4b av-special-heading-h2 blockquote modern-quote  avia-builder-el-7  el_before_av_textblock  avia-builder-el-first '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Case Description<\/h2><div class='av-subheading av-subheading_below'><p>A few details<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mw8sepeg-be9b9f17aa29df90ceacae0661a6f213\">\n#top .av_textblock_section.av-mw8sepeg-be9b9f17aa29df90ceacae0661a6f213 .avia_textblock{\nfont-size:16px;\n}\n<\/style>\n<section  class='av_textblock_section av-mw8sepeg-be9b9f17aa29df90ceacae0661a6f213 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>History:<\/strong><\/p>\n<p>A 54-year-old male presented with abdominal pain and constipation, with a palpable right iliac fossa mass. Right hemicolectomy revealed a 10.0 \u00d7 7.0 \u00d7 7.0 cm tumor.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av-layout-grid-1'  class='av-layout-grid-container av-72jxgp-d10c37ff7ec20691348271573fbca768 entry-content-wrapper main_color av-flex-cells  avia-builder-el-9  el_after_av_section  el_before_av_contact  grid-row-not-first  container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5vc2nt-b0ebe4184a7a319c68d77bcf45e17fa4\">\n.flex_cell.av-5vc2nt-b0ebe4184a7a319c68d77bcf45e17fa4{\nvertical-align:middle;\nbackground-color:#584632;\n}\n.responsive #top #wrap_all .flex_cell.av-5vc2nt-b0ebe4184a7a319c68d77bcf45e17fa4{\npadding:0px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-5vc2nt-b0ebe4184a7a319c68d77bcf45e17fa4 av-gridrow-cell av_one_full no_margin  avia-builder-el-10  avia-builder-el-no-sibling  av-zero-padding'  ><div class='flex_cell_inner'><div id='av-masonry-1' class='av-masonry av-mw8sj7ab-536b224a73d3e79ea4b086d472286fe8 noHover av-fixed-size av-large-gap av-hover-overlay-active av-masonry-animation-active av-masonry-col-flexible av-caption-always av-caption-style- av-masonry-gallery ' data-post_id=\"2297\"><div class=\"av-masonry-container isotope av-js-disabled\"><div class='av-masonry-entry isotope-item av-masonry-item-no-image '><\/div><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5-782x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5-782x1030.jpg 782w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5-228x300.jpg 228w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5-768x1011.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5-535x705.jpg 535w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5.jpg 972w\" data-sizes=\"(max-width: 782px) 100vw, 782px\"  aria-label=\"image Fig 1\"  id='av-masonry-1-item-2322' data-av-masonry-item='2322' class='av-masonry-entry isotope-item post-2322 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 1\" alt=\"Fig 1\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-1-5-535x705.jpg);\"  title=\"Fig 1\"   alt=\"Fig 1\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 1<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5-804x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5-804x1030.jpg 804w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5-234x300.jpg 234w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5-768x984.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5-550x705.jpg 550w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5.jpg 999w\" data-sizes=\"(max-width: 804px) 100vw, 804px\"  aria-label=\"image Fig 2\"  id='av-masonry-1-item-2323' data-av-masonry-item='2323' class='av-masonry-entry isotope-item post-2323 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 2\" alt=\"Fig 2\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-2-5-550x705.jpg);\"  title=\"Fig 2\"   alt=\"Fig 2\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 2<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4-829x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4-829x1030.jpg 829w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4-241x300.jpg 241w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4-768x954.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4-567x705.jpg 567w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4.jpg 1030w\" data-sizes=\"(max-width: 829px) 100vw, 829px\"  aria-label=\"image Fig 3\"  id='av-masonry-1-item-2324' data-av-masonry-item='2324' class='av-masonry-entry isotope-item post-2324 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 3\" alt=\"Fig 3\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-3-4-567x705.jpg);\"  title=\"Fig 3\"   alt=\"Fig 3\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 3<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2-775x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2-775x1030.jpg 775w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2-226x300.jpg 226w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2-768x1021.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2-530x705.jpg 530w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2.jpg 963w\" data-sizes=\"(max-width: 775px) 100vw, 775px\"  aria-label=\"image Fig 4 PAS-AB\"  id='av-masonry-1-item-2325' data-av-masonry-item='2325' class='av-masonry-entry isotope-item post-2325 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 4 PAS-AB\" alt=\"Fig 4 PAS-AB\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-4-2-530x705.jpg);\"  title=\"Fig 4 PAS-AB\"   alt=\"Fig 4 PAS-AB\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 4 PAS-AB<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5-780x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5-780x1030.jpg 780w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5-227x300.jpg 227w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5-768x1014.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5-534x705.jpg 534w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5.jpg 969w\" data-sizes=\"(max-width: 780px) 100vw, 780px\"  aria-label=\"image Fig 5 CDX2\"  id='av-masonry-1-item-2326' data-av-masonry-item='2326' class='av-masonry-entry isotope-item post-2326 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 5 CDX2\" alt=\"Fig 5 CDX2\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-5-534x705.jpg);\"  title=\"Fig 5 CDX2\"   alt=\"Fig 5 CDX2\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 5 CDX2<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6-727x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6-727x1030.jpg 727w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6-212x300.jpg 212w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6-768x1087.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6-498x705.jpg 498w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6.jpg 904w\" data-sizes=\"(max-width: 727px) 100vw, 727px\"  aria-label=\"image Fig 6 Chromogranin\"  id='av-masonry-1-item-2327' data-av-masonry-item='2327' class='av-masonry-entry isotope-item post-2327 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 6 Chromogranin\" alt=\"Fig 6 Chromogranin\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-6-498x705.jpg);\"  title=\"Fig 6 Chromogranin\"   alt=\"Fig 6 Chromogranin\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 6 Chromogranin<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><a href=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7-790x1030.jpg\" data-srcset=\"https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7-790x1030.jpg 790w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7-230x300.jpg 230w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7-768x1001.jpg 768w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7-541x705.jpg 541w, https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7.jpg 982w\" data-sizes=\"(max-width: 790px) 100vw, 790px\"  aria-label=\"image Fig 7 Synaptophysin\"  id='av-masonry-1-item-2328' data-av-masonry-item='2328' class='av-masonry-entry isotope-item post-2328 attachment type-attachment status-inherit hentry  av-masonry-item-with-image' title=\"Fig 7 Synaptophysin\" alt=\"Fig 7 Synaptophysin\"    itemprop=\"thumbnailUrl\" ><div class='av-inner-masonry-sizer'><\/div><figure class='av-inner-masonry main_color'><div class=\"av-masonry-outerimage-container\"><div class='av-masonry-image-container' style=\"background-image: url(https:\/\/hcsp-iap.pk\/cases\/wp-content\/uploads\/2026\/11\/Fig-7-541x705.jpg);\"  title=\"Fig 7 Synaptophysin\"   alt=\"Fig 7 Synaptophysin\" ><\/div><\/div><figcaption class='av-inner-masonry-content site-background'><div class='av-inner-masonry-content-pos'><div class='av-inner-masonry-content-pos-content'><div class='avia-arrow'><\/div><h3 class='av-masonry-entry-title entry-title '  itemprop=\"headline\" >Fig 7 Synaptophysin<\/h3><\/div><\/div><\/figcaption><\/figure><\/a><!--end av-masonry entry--><\/div><\/div>\n<\/div><\/div><\/div><div id='after_grid_row_1'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-2297'><div class='entry-content-wrapper clearfix'><form action=\"https:\/\/hcsp-iap.pk\/cases\/monthly_cases\/case-05-6\/\" method=\"post\" data-fields-with-error=\"Found errors in the following field(s):\" class=\"avia_ajax_form av-form-labels-visible   avia-builder-el-12  el_after_av_layout_row  el_before_av_button  avia-builder-el-first   \" data-avia-form-id=\"1\" data-avia-redirect='' ><h3 class=''>What is the likely diagnosis? <\/h3><fieldset><p class='  first_form  form_element form_element_half' id='element_avia_1_1'><label for=\"avia_1_1\">Choose correct option: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_1_1\" class=\"select is_empty\" id=\"avia_1_1\"><option  selected=\"selected\" value=''><\/option><option   value='Mucinous carcinoma'>Mucinous carcinoma<\/option><option   value='Adenocarcinoma with neuroendocrine differentiation'>Adenocarcinoma with neuroendocrine differentiation<\/option><option   value='Amphicrine like carcinoma with mucinous differentiation'>Amphicrine like carcinoma with mucinous differentiation<\/option><option   value='Mixed neuroendocrine \u2013 non-neuroendocrine neoplasm'>Mixed neuroendocrine \u2013 non-neuroendocrine neoplasm<\/option><option   value='Goblet cell adenocarcinoma'>Goblet cell adenocarcinoma<\/option><\/select><\/p><p id='element_avia_2_1' class=' first_form  form_element form_fullwidth av-last-visible-form-element av-form-empty-line '> <\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_3_1\" class=\"hidden \" id=\"avia_3_1\" value=\"\" \/><\/p><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"Submit\" class=\"button\"  data-sending-label=\"Sending\"\/><\/p><\/fieldset><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 hidden\"><\/div><\/h6>\n<div  class='avia-button-wrap av-2j9l3d-9794b63caaffc03835549ad5dfc4b532-wrap avia-button-center  avia-builder-el-13  el_after_av_contact  avia-builder-el-last '><a href='https:\/\/hcsp-iap.pk\/cases\/'  class='avia-button av-2j9l3d-9794b63caaffc03835549ad5dfc4b532 avia-icon_select-yes-left-icon avia-size-x-large avia-position-center avia-color-theme-color'  ><span class='avia_button_icon avia_button_icon_left' aria-hidden='true' data-av_icon='\ue851' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Back to Monthly Cases Homepage<\/span><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":2325,"comment_status":"open","ping_status":"closed","template":"","tags":[],"portfolio_entries":[19],"class_list":["post-2297","portfolio","type-portfolio","status-publish","has-post-thumbnail","hentry","portfolio_entries-histopathology"],"_links":{"self":[{"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/portfolio\/2297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/portfolio"}],"about":[{"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/types\/portfolio"}],"replies":[{"embeddable":true,"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/comments?post=2297"}],"version-history":[{"count":5,"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/portfolio\/2297\/revisions"}],"predecessor-version":[{"id":2335,"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/portfolio\/2297\/revisions\/2335"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/media\/2325"}],"wp:attachment":[{"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/media?parent=2297"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/tags?post=2297"},{"taxonomy":"portfolio_entries","embeddable":true,"href":"https:\/\/hcsp-iap.pk\/cases\/wp-json\/wp\/v2\/portfolio_entries?post=2297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}