DZI20-199-Case-8

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DZI20-199-Case-8
pancreas mass - whipple

FX2: bile duct margin FX4 + level: Pancreas transection margin

FX5: thickened common bile duct
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)
December 31, 1969 7:00:00 PM