Man 40 yo pain at RUQ with dark urine.
Ultrasound first detected big gallbladder with very think wall, no stone, CBD in dilatation just to end of CBD, no tumor of pancreas (2 ultrasound images).
MSCT CE detected dilated biliary system intra and extrahepatic ( 3 CT images).
Gastro-duodenal endoscopy found out a round tumor at Oddi area (see photo), biopsy was done.
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Blood tests, CEA, CA-19-9 were normal.
What is your suggestion for diagnosis and your next step ?
ERCP not successful.
Biopsy of the tumor but the microscopic result was negative.
Ooen operation for exploration, surgeon detected a hard massat the head of pancreas.
Whipple operation was performed (specimen of tumor of Oddi).
Microscopic report was adenocarcinoma ( patho images)
REFERENCE from Meditoons
