2nd Virtual Slide Congress in Internet

Virtual Slide # 3. A 60-year-old female with jaundice

Hugo Góngora Jara^*, Pedro Nicolás De La Cuesta^**, Jorge Diconca^***
* Cátedras de Patología e Histología. Fundación H.A. Barceló. Laboratorio Privado de Patología. Clínica ERI. La Rioja ARGENTINA
** Laboratorio Privado de Patología. La Rioja ARGENTINA
*** Servicio de Endoscopía y Cirugía. Clínica ERI. La Rioja ARGENTINA

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Case Report

A 60-year-old female, was referred to our institute for the evaluation of a jaundice. The endoscopy showed a polypoid lesion in the papilla of Vater. After surgical partial resection of duodenum with removal of the lesion, it was submitted for pathological examination. The surgical specimen consisted of a partial duodenectomy (5,5x4x3 cm.),with 2 cm. of distal common bile duct. At gross examination, a a 4.5x3x2 cm. sesil polypoid, granullary/papillary tumour juxtaposingthe papilla duodeni major was found.

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Diagnosis

	High-Grade Dysplasia and In situ Adenocarcinoma in Villous adenoma of the duodenum.
	High-Grade Epithelial Dysplasia, In situ and Invasive Adenocarcinoma in Sessile Serrated Adenoma of the Duodenum.
	High-Grade Epithelial Dysplasia, In Situ and Invasive Adenocarcinoma in Villous Adenoma of the Duodenum.
	High-Grade Epitehlial Dysplasia, In Situ and Invasive Adenocarcinoma in Hiperplastic polip of the Duodenum.
	High grade Dysplasia in Polyp With Extensive Absorptive Enterocyte Differentiation of the Duodenum.

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