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Intraoperative Evaluation of Hepatic Biliary Lesions

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Frozen Section Library: Liver, Extrahepatic Biliary Tree and Gallbladder

Part of the book series: Frozen Section Library ((FROZEN))

Abstract

Most benign biliary lesions are too small to be detected by imaging techniques, so their presence is not usually suspected prior to abdominal surgery. Unfortunately, their features can closely simulate the gross appearance of metastatic adenocarcinoma and, thus, they are often submitted for frozen section analysis during procedures to remove extrahepatic malignancies. Intrahepatic adenocarcinoma is a diagnosis that is either confirmed or suspected at the time of surgery in most cases, so intraoperative pathologic assessment of these tumors is limited to evaluation of surgical margins. The purpose of this chapter is to (1) describe the gross and histologic features that facilitate distinction between benign and malignant ductal proliferations in the liver and (2) discuss issues related to evaluation of hepatic resection specimens that contain cholangiocarcinoma.

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Authors and Affiliations

  1. Department of Pathology and Laboratory Medicine, Weill Medical College of Cornell University, New York, NY, USA

    Rhonda K. Yantiss MD

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  1. Rhonda K. Yantiss MD
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Correspondence to Rhonda K. Yantiss MD .

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Editors and Affiliations

  1. Weill Medical College, Pathology and Laboratory Medicine, Cornell University, 525 East 68th St., New York, 10021, New York, USA

    Rhonda K. Yantiss

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Yantiss, R.K. (2011). Intraoperative Evaluation of Hepatic Biliary Lesions. In: Yantiss, R. (eds) Frozen Section Library: Liver, Extrahepatic Biliary Tree and Gallbladder. Frozen Section Library. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0043-1_2

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  • DOI: https://doi.org/10.1007/978-1-4614-0043-1_2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-0042-4

  • Online ISBN: 978-1-4614-0043-1

  • eBook Packages: MedicineMedicine (R0)

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