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Fig. 4 | Surgical Case Reports

Fig. 4

From: Immunoglobulin G4-related sclerosing cholecystitis presenting as gallbladder cancer: a case report

Fig. 4

a Gross findings revealed a 4.5-cm mass involving the gallbladder and liver hilum. b Microscopic findings revealed diffuse lymphoplasmacytic infiltration, dense fibrosis, and obliterative phlebitis. c Other findings revealed infiltration of some eosinophils and neutrophils and some xanthogranulomatous inflammations. d Immunohistochemical staining for IgG4 showed IgG4/plasma cell 10–40 % and many IgG4-positive plasma cells (maximum density 50 per high-power field)

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