8 September 2020: Image Quiz #38

Author: Zachary Dong, M.D.Kimberley J. Evason, M.D., Ph.D.

A 72 year old man presented with jaundice. CT scan showed dilatation of the left bile duct, which contained a papillary lesion. An image from the resection specimen is shown. Which of the following is true about this entity?

Select an answer:

A. The epithelium is most commonly intestinal type with goblet cells

B. It lacks ovarian stroma

C. It is almost always unifocal

D. There is a strong male predominance

E. There is a very low risk of associated invasive carcinoma

To sign up for our biweekly image quiz newsletters and more, visit pathologyoutlines.com/subscribe.html.