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Surgical Case Reports
Fig. 5 | Surgical Case Reports

Fig. 5

From: Synchronous double primary malignancies of the pancreatic body and extrahepatic bile duct treated with pancreatoduodenectomy and splenic artery resection following neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel: a case report

Fig. 5

Pancreatoduodenectomy with splenic artery resection (PD-SAR) was performed. A The resected specimen revealed two tumors in the body of the pancreas (arrowhead) and lower common bile duct (arrow). B The representative cut surfaces of the resected specimen of the pancreas showed a 38-mm-sized mass surrounded by fibrosis in the pancreatic body. C The representative cut surfaces of the resected specimen of the common bile duct showed an infiltrating-type flat tumor in the lower bile duct with several para-pancreatic lymph node metastases

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