Extensively Invasive Gallbladder Cancer from Intracholecystic Papillary Neoplasm Treated with Pylorus-Preserving Pancreaticoduodenectomy and Extended Cholecystectomy: A Case Report and Literature Review

Figure 4

Macroscopic findings. (a) Macroscopic findings revealed a papillary tumor that had invaded the common bile duct. The distal bile duct lumen was severely constricted by the tumor invasion (yellow arrow). (b) Cross section of the resected specimen revealed that the white tumor extensively invaded the liver (white arrow), cystic duct (red arrow), common bile duct (yellow arrow), and pancreas (pink arrow). Black arrows point to the papilla of Vater.

(a)

(b)