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)
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Clinical history
pancreas mass - whipple FX2: bile duct margin FX4 + level: Pancreas transection margin FX5: thickened common bile duct
Diagnosis
FX2 (bile duct margin): TINEM FX4 (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)
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