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      follicular-gastritis
      1 2 › 2

      2 Endoscopy
      5 EUS
      D Duodenum
      E Gallbladder and Biliary tree
      6 Radiology
      signet ring cell, papillary carcinoma

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      Author: LUCIDI Cristina Roma Italy

      62y female patient with jaundice and increased transaminases/cholestasis, responsive to UDCA. Abdominal CT and MRI showed dilated VBP with papilla rat-tail narrowing and suspected material inside. Normal Ca 19-9 level.  Histopathological examination confirmed a Signet ring cell carcinoma of the papilla

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