PMC8047084_01
Biopsy of Surgical specimen. Signet ring cells on high magnification (poorly cohesive cells with central vacuoles containing intracytoplasmic mucin.
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Signet Ring variety arising from the Ampulla of Vater (Figure 1). Size of lesion was 2.5 cm by 0.9 cm, margins clear and 0 out of 17 nodes were involved.
Large abdominal mass.. A-Liver, B-Right Kidney, C-Tumor Recurrence, D-Spleen.
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She was put on Chemotherapy with palliative intent as the recurrent mass was surgically irresectable (Figure 2).