#GIpath #Liverpath #pathresidents

50 year old man; liver wedge resection. History of indeterminate pancreas lesion by imaging (chronic pancreatitis vs mass).

A few images, a poll, and a #tweetorial
#GIpath #Liverpath #pathresidents 50 year old man; liver wedge resection. History of indeterminate pancreas lesion by imaging (chronic pancreatitis vs mass).A few images, a poll, and a #tweetorial
#GIpath #Liverpath #pathresidents 50 year old man; liver wedge resection. History of indeterminate pancreas lesion by imaging (chronic pancreatitis vs mass).A few images, a poll, and a #tweetorial
#GIpath #Liverpath #pathresidents 50 year old man; liver wedge resection. History of indeterminate pancreas lesion by imaging (chronic pancreatitis vs mass).A few images, a poll, and a #tweetorial
#GIpath #Liverpath #pathresidents 50 year old man; liver wedge resection. History of indeterminate pancreas lesion by imaging (chronic pancreatitis vs mass).A few images, a poll, and a #tweetorial
Diagnosis?
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Discussion: I felt this was a nice case of bile duct adenoma. Some annotated images are posted below.
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Thank you to @RhondaYantiss and @merepitt for letting me borrow the cancer images from their excellent & comprehensive review article on this topic: https://pubmed.ncbi.nlm.nih.gov/29751885/ 
Image credit: http://pathologyapps.com/bile-duct-hamartoma_liver-outlines.php
Thanks all. FYI, the BDA was an incidental finding in a partial hepatectomy for HCC.

Sources:

1) https://www.amazon.com/Scheuers-Liver-Biopsy-Interpretation-Lefkowitch/dp/0702055484

2) https://www.amazon.com/Atlas-Liver-Pancreas-Pathology-Approach/dp/1496396979/ref=mp_s_a_1_1?dchild=1&keywords=torbenson+liver&qid=1612667529&sr=8-1

3) https://www.amazon.com/Practical-Hepatic-Pathology-Diagnostic-Recognition/dp/0443068038

4) Lecture notes from a CME course with @RhondaYantiss a couple years ago.
Practical Hepatic Pathology: A Diagnostic Approach: A Volume in the Pattern Recognition Series,...

Practical Hepatic Pathology: A Diagnostic Approach: A Volume in the Pattern Recognition Series, Expert Consult: Online and Print

https://www.amazon.com/Scheuers-Liver-Biopsy-Interpretation-Lefkowitch/dp/0702055484
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