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Epidemiology Etiology Clinical Manifestations and Laboratory
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adenocarcinoma adenomas Albores-Saavedra ampulla of Vater ampullary carcinoma appearance Arch areas arise associated atypia benign biliary biliary tract biopsy bladder Cancer carci carcinoid tumors cause cell carcinoma changes clear Clin clinical columnar cells common bile duct contain cystic cysts cytoplasm diagnosis differentiated disease duodenal duodenum dysplasia endocrine cells epithelial epithelium extend extrahepatic bile ducts Figure Findings gall gallbladder gallbladder cancer giant cells glands glandular granular growth hepatic histologic hyperplasia immunohistochemical incidence infiltrate intestinal type invasive involve Left lesions less lined liver located lymph nodes malignant metaplasia metastatic mucin mucosa neoplastic noma normal nuclei obstruction occur pancreatic papilla papillary Pathol Pathology patients pattern percent periampullary positive present primary rare reactive region reported resection resemble result Right sclerosing cholangitis seen similar small cell carcinoma spindle squamous stage staining stroma structures surface Surg tion tissue tract tubular ulcerative usually wall