Abstract
A 64-year-old man was referred with upper abdominal pain of 6-months duration. He reported no weight loss, fever or night sweats. Clinical chemistry revealed cholestasis. A biliary stent had previously been inserted at the referring hospital due to bile duct obstruction. EGD, using a side viewing duodenoscope, showed a red fleshy tumour protruding through the papillary orifice (Fig. 1). The biopsy specimen revealed highly atypical, ovoid to spinde-shaped, mononuclear cells. These were admixed with histiocytes that did not show cytologic atypia, and with large multinuclear osteoclast-like giant-cells (Fig.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
