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Case 131

A 54 year old female with abdominal pain and here is the biopsy:

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  1. What's your favored diagnosis and next step?

A: Carcinoma do keratin

B: Neuroendocrine neoplasm

C: Reactive squished glands

D: Histiocytic lesions favor granuloma



Answer

The patient has a history of cholangiocarcinoma and there is tumor nest in the vascular channel and positive for keratin. This is a case of adenocarcinoma.



Case credit: UCSD Pathology

Author: Wangpan Jackson Shi, MD

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