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PRIMARY CARCINOMA OF THE TERMINAL PORTION OF THE COMMON BILE DUCT

B. PINES, M.D.; J. RABINOVITCH, M.D., C.M.
Arch Surg. 1940;40(1):135-149. doi:10.1001/archsurg.1940.04080010138014.
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It is proposed to present in this paper some of the salient features of carcinoma of the terminal portion of the common bile duct with special reference to its pathologic picture and atypical symptoms. The following observations are based on 17 cases of carcinoma of this area collected from the records of the Jewish Hospital. In 8 of these cases necropsy was performed, which allowed us a more detailed study of the pathologic changes. Analysis of the case histories was instigated by the considerable literature on the subject which has accumulated within recent years, and some of the striking features that became manifest from this analysis are the following interesting facts: first, the discovery in a relatively large percentage of cases of an acute inflammatory process of the gallbladder as the outstanding characteristic at or about the time of the first examination; second, the frequent finding of concomitant changes in

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