Primary squamous cell carcinoma of the bile duct diagnosed by transpapillary cholangioscopy: case report and review David Gatof, M.D., Yang K. Chen,

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Primary squamous cell carcinoma of the bile duct diagnosed by transpapillary cholangioscopy: case report and review David Gatof, M.D., Yang K. Chen, M.D., Raj J. Shah, M.D. Gastrointestinal Endoscopy Volume 60, Issue 2, Pages 300-304 (August 2004) DOI: 10.1016/S0016-5107(04)01561-5 Copyright © 2004 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Cholangiogram demonstrating shelf-like stricture of common hepatic duct, with dilation of right and left main hepatic ducts. Gastrointestinal Endoscopy 2004 60, 300-304DOI: (10.1016/S0016-5107(04)01561-5) Copyright © 2004 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 A, Fluoroscopic view of cholangioscope exiting accessory channel of duodenoscope and biopsy forceps (circle) exiting cholangioscope. B, Biopsy forceps used with cholangioscope. Gastrointestinal Endoscopy 2004 60, 300-304DOI: (10.1016/S0016-5107(04)01561-5) Copyright © 2004 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 A, Photomicrography of biopsy, showing squamous carcinoma (H&E, orig. mag. ×60). B, Photomicrograph of biopsy, confirming diagnosis of squamous carcinoma (pancytokeratin stain, orig. mag. ×40). Gastrointestinal Endoscopy 2004 60, 300-304DOI: (10.1016/S0016-5107(04)01561-5) Copyright © 2004 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Percutaneous cholangiogram 3 months after brachytherapy, showing improvement in common hepatic duct stricture. Gastrointestinal Endoscopy 2004 60, 300-304DOI: (10.1016/S0016-5107(04)01561-5) Copyright © 2004 American Society for Gastrointestinal Endoscopy Terms and Conditions