DZI20-199-Case-8
From MGH Learn Pathology
FX2: bile duct margin FX4 + level: Pancreas transection margin
FX5: thickened common bile ductFX4 (pancreatic transection margin): Small ducts with involvement by intramucosal malignancy, at least high-grade dysplasia (permanent: invasive adenocarcinoma, moderately differentiated)
FX5 (thickened common bile duct): Invasive adenocarcinoma (permanent: invasive adenocarcinoma, moderately differentiated - pancreatic head origin, possibility of bile duct considered by favored against)