Gallbladder - Revision history

Michael: /* Gallbladder adenoma */

2017-10-30T14:06:45Z

Gallbladder adenoma

← Older revision		Revision as of 14:06, 30 October 2017
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	==Gallbladder adenoma==		==Gallbladder adenoma==
			:''Gallbladder dysplasia'' is covered in ''[[gallbladder adenoma]]''.
	{{Main\|Gallbladder adenoma}}		{{Main\|Gallbladder adenoma}}

Michael: /* Gallbladder adenoma */ split out

2017-10-30T14:06:07Z

Gallbladder adenoma: split out

← Older revision		Revision as of 14:06, 30 October 2017
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	==Gallbladder adenoma==		==Gallbladder adenoma==
	~~:''Gallbladder dysplasia'' redirects here.~~		{{Main\|Gallbladder adenoma}}
	~~===General===~~
	*Premalignant lesion.
	*May be associated with [[familial adenomatous polyposis]] or [[Peutz-Jeghers syndrome]].<ref name=pmid11896229>{{Cite journal \| last1 = Levy \| first1 = AD. \| last2 = Murakata \| first2 = LA. \| last3 = Abbott \| first3 = RM. \| last4 = Rohrmann \| first4 = CA. \| title = From the archives of the AFIP. Benign tumors and tumorlike lesions of the gallbladder and extrahepatic bile ducts: radiologic-pathologic correlation. Armed Forces Institute of Pathology. \| journal = Radiographics \| volume = 22 \| issue = 2 \| pages = 387-413 \| month = \| year = \| doi = \| ~~PMID = 11896229 \| url = http://radiographics.rsna.org/content/22/2/387.full }}</ref>~~

	~~===Microscopic===~~
	~~Features:~~
	*Gallbladder ~~epithelium with:~~
	**Nuclear atypia - '''key feature'''.
	***Nuclear hyperchromasia.
	***Nuclear crowding (pseudostratification) ''or'' round enlarged nuclei.
	**+/-Goblet cells.

	Architectural subclassification:<ref name=pmid22895264>{{Cite journal \| last1 = Adsay \| first1 = V. \| last2 = Jang \| first2 = KT. \| last3 = Roa \| first3 = JC. \| last4 = Dursun \| first4 = N. \| last5 = Ohike \| first5 = N. \| last6 = Bagci \| first6 = P. \| last7 = Basturk \| first7 = O. \| last8 = Bandyopadhyay \| first8 = S. \| last9 = Cheng \| first9 = JD. \| title = Intracholecystic papillary-tubular neoplasms (ICPN) of the gallbladder (neoplastic polyps, adenomas, and papillary neoplasms that are ≥1.0 cm): clinicopathologic and immunohistochemical analysis of 123 cases. \| journal = Am J Surg Pathol \| volume = 36 \| issue = 9 \| pages = 1279-301 \| month = Sep \| year = 2012 \| doi = 10.1097/PAS.0b013e318262787c \| PMID = 22895264 }}~~</ref>~~
	*Papillary ~ 45%.
	*Tubulopapillary ~ 30%.
	*Tubular ~ 25%.

	~~Notes:~~
	*Low grade dysplasia should prompt targeted sampling and review.<ref name=uscap2017_akki/>
	*Gallbladders with high grade dysplasia should be [[submitted in total]] to exclude [[gallbladder adenocarcinoma]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>

	~~DDx:~~
	*[[Gallbladder adenocarcinoma]].
	*Reactive changes.

	~~====Images====~~
	*[http://radiographics.rsna.org/content/22/2/387/F4.expansion.html Tubular adenoma, biliary type (rsna.org)].<ref name=pmid11896229/>
	*[http://www.flickr.com/photos/lunarcaustic/4986649333/ Gallbladder with high-grade dysplasia (flickr.com/lunar caustic)].

	~~===Sign out===~~
	~~<pre>~~
	~~GALLBLADDER, CHOLECYSTECTOMY:~~
	~~- BILIARY TYPE TUBULAR ADENOMA WITH HIGH GRADE DYSPLASIA.~~
	~~- MARGINS CLEAR OF ADENOMA (NEAREST MARGIN 1.0 CM).~~
	~~</pre>~~

	==Intracholecystic Papillary Neoplasm<ref>{{Cite journal \| last1 = Adsay \| first1 = V. \| last2 = Jang \| first2 = KT. \| last3 = Roa \| first3 = JC. \| last4 = Dursun \| first4 = N. \| last5 = Ohike \| first5 = N. \| last6 = Bagci \| first6 = P. \| last7 = Basturk \| first7 = O. \| last8 = Bandyopadhyay \| first8 = S. \| last9 = Cheng \| first9 = JD. \| title = Intracholecystic papillary-tubular neoplasms (ICPN) of the gallbladder (neoplastic polyps, adenomas, and papillary neoplasms that are ≥1.0 cm): clinicopathologic and immunohistochemical analysis of 123 cases. \| journal = Am J Surg Pathol \| volume = 36 \| issue = 9 \| pages = 1279-301 \| month = Sep \| year = 2012 \| doi = 10.1097/PAS.0b013e318262787c \| PMID = 22895264 }}		==Intracholecystic Papillary Neoplasm<ref>{{Cite journal \| last1 = Adsay \| first1 = V. \| last2 = Jang \| first2 = KT. \| last3 = Roa \| first3 = JC. \| last4 = Dursun \| first4 = N. \| last5 = Ohike \| first5 = N. \| last6 = Bagci \| first6 = P. \| last7 = Basturk \| first7 = O. \| last8 = Bandyopadhyay \| first8 = S. \| last9 = Cheng \| first9 = JD. \| title = Intracholecystic papillary-tubular neoplasms (ICPN) of the gallbladder (neoplastic polyps, adenomas, and papillary neoplasms that are ≥1.0 cm): clinicopathologic and immunohistochemical analysis of 123 cases. \| journal = Am J Surg Pathol \| volume = 36 \| issue = 9 \| pages = 1279-301 \| month = Sep \| year = 2012 \| doi = 10.1097/PAS.0b013e318262787c \| PMID = 22895264 }}

Michael: /* Gallbladder adenoma */

2017-10-30T14:04:10Z

Gallbladder adenoma

← Older revision		Revision as of 14:04, 30 October 2017
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	Notes:		Notes:
	*~~All of the gallbladder~~ should be submitted ~~prior to sign out~~ to exclude ~~non-sampled~~ adenocarcinoma.		*Low grade dysplasia should prompt targeted sampling and review.<ref name=uscap2017_akki/>
			*Gallbladders with high grade dysplasia should be [[submitted in total]] to exclude [[gallbladder adenocarcinoma]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>

	DDx:		DDx:

Mitchell: /* Xanthogranulomatous cholecystitis / added pancreatic heterotopia

2017-01-18T20:09:45Z

Xanthogranulomatous cholecystitis: *added pancreatic heterotopia

← Older revision		Revision as of 20:09, 18 January 2017
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	*Abbreviated ''XGC''.		*Abbreviated ''XGC''.
	{{Main\|Xanthogranulomatous cholecystitis}}		{{Main\|Xanthogranulomatous cholecystitis}}

			==Pancreatic heterotopia==
			[[File:Gallbladder mass benign A sl 1.png\|Pancreatic heterotopia in 35 year old women]]
			[[File:Gallbladder mass benign A sl 2.png\|Pancreatic heterotopia in 35 year old women]]
			[[File:Gallbladder mass benign A sl 3.png\|Pancreatic heterotopia in 35 year old women]]
			[[File:Gallbladder mass benign A sl 4.png\|Pancreatic heterotopia in 35 year old women]]<br>
			Pancreatic heterotopia near cystic duct in 35 year old women. A. The cystic duct margin is at right; the heterotopia, at left. This cannot be a portion of the pancreas because the cystic duct margin lies proximal to the common bile duct. B. Pancreatic ducts with lobular proliferation, but without the inflammation that would usually be present were this obstruction by a gallstone. C. Nuclei of the duct and the proliferated bile ductules are bland. D. Acini are unremarkable; no pancreatic islets were seen in this case.

	=Premalignant lesions=		=Premalignant lesions=

Michael: /* Sign out */

2016-06-17T21:13:45Z

Sign out

← Older revision		Revision as of 21:13, 17 June 2016
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	- Chronic cholecystitis with antral-type metaplasia, NEGATIVE for dysplasia.		- Chronic cholecystitis with antral-type metaplasia, NEGATIVE for dysplasia.
	- Cholelithiasis.		- Cholelithiasis.

	</pre>		</pre>

Michael: /* Antral type metaplasia */

2016-06-17T21:13:39Z

Antral type metaplasia

← Older revision		Revision as of 21:13, 17 June 2016
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	Images:		Images:
	*[http://www.archivesofpathology.org/doi/pdf/10.1043/1543-2165%282005%29129%3C386%3APPOGDA%3E2.0.CO%3B2 Gallbladder metaplasias (archivesofpathology.org)].<ref name=pmid15737036>{{cite journal \|author=Mukhopadhyay S, Landas SK \|title=Putative precursors of gallbladder dysplasia: a review of 400 routinely resected specimens \|journal=Arch. Pathol. Lab. Med. \|volume=129 \|issue=3 \|pages=386–90 \|year=2005 \|month=March \|pmid=15737036 \|doi= \|url=http://www.archivesofpathology.org/doi/pdf/10.1043/1543-2165%282005%29129%3C386%3APPOGDA%3E2.0.CO%3B2 }}</ref>		*[http://www.archivesofpathology.org/doi/pdf/10.1043/1543-2165%282005%29129%3C386%3APPOGDA%3E2.0.CO%3B2 Gallbladder metaplasias (archivesofpathology.org)].<ref name=pmid15737036>{{cite journal \|author=Mukhopadhyay S, Landas SK \|title=Putative precursors of gallbladder dysplasia: a review of 400 routinely resected specimens \|journal=Arch. Pathol. Lab. Med. \|volume=129 \|issue=3 \|pages=386–90 \|year=2005 \|month=March \|pmid=15737036 \|doi= \|url=http://www.archivesofpathology.org/doi/pdf/10.1043/1543-2165%282005%29129%3C386%3APPOGDA%3E2.0.CO%3B2 }}</ref>

			===Sign out===
			<pre>
			Gallbladder, Cholecystectomy:
			- Chronic cholecystitis with antral-type metaplasia, NEGATIVE for dysplasia.
			- Cholelithiasis.

			</pre>

	==Gallbladder adenoma==		==Gallbladder adenoma==

Michael: /* Cholelithiasis */

2015-08-18T21:40:30Z

Cholelithiasis

← Older revision		Revision as of 21:40, 18 August 2015
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	==Cholelithiasis==		==Cholelithiasis==
	*[[AKA]] ''gallstones''.		*[[AKA]] ''gallstones''.
	{{Cholelithiasis}}		{{Main\|Cholelithiasis}}

	=Less common pathologic diagnoses=		=Less common pathologic diagnoses=

Michael: /* Cholelithiasis */ split out

2015-08-18T21:40:20Z

Cholelithiasis: split out

← Older revision		Revision as of 21:40, 18 August 2015
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	==Cholelithiasis==		==Cholelithiasis==
	*[[AKA]] ''gallstones''.		*[[AKA]] ''gallstones''.
	~~===General===~~		{{Cholelithiasis}}
	*Often accompanies [[cholecystitis]]/contributes and/or causes cholecystitis.
	*The gallbladder is removed following ''biliary pancreatitis'' ([[gallstone pancreatitis]]) to reduce recurrence risk.<ref name=pmid23181667>{{Cite journal \| last1 = Bouwense \| first1 = SA. \| last2 = Besselink \| first2 = MG. \| last3 = van Brunschot \| first3 = S. \| last4 = Bakker \| first4 = OJ. \| last5 = van Santvoort \| first5 = HC. \| last6 = Schepers \| first6 = NJ. \| last7 = Boermeester \| first7 = MA. \| last8 = Bollen \| first8 = TL. \| last9 = Bosscha \| first9 = K. \| title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. \| journal = Trials \| volume = 13 \| issue = \| pages = 225 \| month = \| year = 2012 \| doi = 10.1186/1745-6215-13-225 \| PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal \| last1 = van Baal \| first1 = MC. \| last2 = Besselink \| first2 = MG. \| last3 = Bakker \| first3 = OJ. \| last4 = van Santvoort \| first4 = HC. \| last5 = Schaapherder \| first5 = AF. \| last6 = Nieuwenhuijs \| first6 = VB. \| last7 = Gooszen \| first7 = HG. \| last8 = van Ramshorst \| first8 = B. \| last9 = Boerma \| first9 = D. \| title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. \| journal = Ann Surg \| volume = 255 \| issue = 5 \| pages = 860-6 \| month = May \| year = 2012 \| doi = 10.1097/SLA.0b013e3182507646 \| PMID = 22470079 }}</ref>
	*Gallstones may compress the common bile duct - known as ''Mirizzi Syndrome''.<ref name=pmid25672201>{{Cite journal \| last1 = Khalid \| first1 = S. \| last2 = Bhatti \| first2 = AA. \| title = Mirizzi's syndrome: an interesting on table finding. \| journal = J Ayub Med Coll Abbottabad \| volume = 26 \| issue = 4 \| pages = 621-4 \| month = \| year = \| doi = \| PMID = 25672201 }}</ref>
	**Can be associated with jaundice.<ref name=pmid25513064>{{Cite journal \| last1 = Elhanafy \| first1 = E. \| last2 = Atef \| first2 = E. \| last3 = El Nakeeb \| first3 = A. \| last4 = Hamdy \| first4 = E. \| last5 = Elhemaly \| first5 = M. \| last6 = Sultan \| first6 = AM. \| title = Mirizzi Syndrome: How it could be a challenge. \| journal = Hepatogastroenterology \| volume = 61 \| issue = 133 \| pages = 1182-6 \| month = \| year = \| doi = \| PMID = 25513064 }}</ref>

	~~The two types of gallstones:~~
	*Cholesterol stones.
	*Pigment stones.

	~~Note:~~
	*Most stones technically speaking are a mix, i.e. cholesterol and pigment. Many call yellow stones that are a mix "cholesterol stones".

	~~====Epidemiology====~~
	Classic risk factors for gallstones - 4 Fs:<ref name=pmid18540184>{{Cite journal \| last1 = Szwed \| first1 = Z. \| last2 = Zyciński \| first2 = P. \| title = [4F's--still up to date risk factors of cholelithiasis]. \| journal = Wiad Lek \| volume = 60 \| issue = 11-12 \| pages = 570-3 \| month = \| year = 2007 \| doi = \| PMID = 18540184 }}</ref>
	*'''F'''emale.
	*'''F'''at.
	*'''F'''orty.
	*'''F'''ertile.

	~~Additional:~~
	*Family history.

	~~====Cholesterol stones====~~
	*More common than pigment stone.

	~~Appearance:~~
	*Clear or yellow.
	*Opaque or translucent.
	*Sometimes shinny.

	~~=====Image=====~~
	~~<gallery>~~
	~~Image:Gallensteine_2006_03_28.JPG \| Yellow gallstones. (WC)~~
	~~</gallery>~~
	~~====Pigment stones====~~
	*Due to high [[RBC]] turnover, e.g. [[sickle cell disease]], thalassemia.
	*Radio-opaque.<ref>URL: [http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20%28General%20Monographs-%20U%29/URSOFALK.html http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20%28General%20Monographs-%20U%29/URSOFALK.html]. Accessed on: 29 October 2011.</ref>

	~~Appearance:~~
	*Black - '''key feature'''.
	*Dull.

	~~===Microscopic===~~
	*Not routinely done on gallstones.

	~~===Sign out===~~
	~~<pre>~~
	~~GALLBLADDER CHOLECYSTECTOMY:~~
	~~- CHOLELITHIASIS.~~
	~~- MILD CHRONIC CHOLECYSTITIS.~~
	~~</pre>~~

	=Less common pathologic diagnoses=		=Less common pathologic diagnoses=

Michael: /* General */

2015-08-18T21:35:57Z

General

← Older revision		Revision as of 21:35, 18 August 2015
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	*Often accompanies [[cholecystitis]]/contributes and/or causes cholecystitis.		*Often accompanies [[cholecystitis]]/contributes and/or causes cholecystitis.
	*The gallbladder is removed following ''biliary pancreatitis'' ([[gallstone pancreatitis]]) to reduce recurrence risk.<ref name=pmid23181667>{{Cite journal \| last1 = Bouwense \| first1 = SA. \| last2 = Besselink \| first2 = MG. \| last3 = van Brunschot \| first3 = S. \| last4 = Bakker \| first4 = OJ. \| last5 = van Santvoort \| first5 = HC. \| last6 = Schepers \| first6 = NJ. \| last7 = Boermeester \| first7 = MA. \| last8 = Bollen \| first8 = TL. \| last9 = Bosscha \| first9 = K. \| title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. \| journal = Trials \| volume = 13 \| issue = \| pages = 225 \| month = \| year = 2012 \| doi = 10.1186/1745-6215-13-225 \| PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal \| last1 = van Baal \| first1 = MC. \| last2 = Besselink \| first2 = MG. \| last3 = Bakker \| first3 = OJ. \| last4 = van Santvoort \| first4 = HC. \| last5 = Schaapherder \| first5 = AF. \| last6 = Nieuwenhuijs \| first6 = VB. \| last7 = Gooszen \| first7 = HG. \| last8 = van Ramshorst \| first8 = B. \| last9 = Boerma \| first9 = D. \| title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. \| journal = Ann Surg \| volume = 255 \| issue = 5 \| pages = 860-6 \| month = May \| year = 2012 \| doi = 10.1097/SLA.0b013e3182507646 \| PMID = 22470079 }}</ref>		*The gallbladder is removed following ''biliary pancreatitis'' ([[gallstone pancreatitis]]) to reduce recurrence risk.<ref name=pmid23181667>{{Cite journal \| last1 = Bouwense \| first1 = SA. \| last2 = Besselink \| first2 = MG. \| last3 = van Brunschot \| first3 = S. \| last4 = Bakker \| first4 = OJ. \| last5 = van Santvoort \| first5 = HC. \| last6 = Schepers \| first6 = NJ. \| last7 = Boermeester \| first7 = MA. \| last8 = Bollen \| first8 = TL. \| last9 = Bosscha \| first9 = K. \| title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. \| journal = Trials \| volume = 13 \| issue = \| pages = 225 \| month = \| year = 2012 \| doi = 10.1186/1745-6215-13-225 \| PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal \| last1 = van Baal \| first1 = MC. \| last2 = Besselink \| first2 = MG. \| last3 = Bakker \| first3 = OJ. \| last4 = van Santvoort \| first4 = HC. \| last5 = Schaapherder \| first5 = AF. \| last6 = Nieuwenhuijs \| first6 = VB. \| last7 = Gooszen \| first7 = HG. \| last8 = van Ramshorst \| first8 = B. \| last9 = Boerma \| first9 = D. \| title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. \| journal = Ann Surg \| volume = 255 \| issue = 5 \| pages = 860-6 \| month = May \| year = 2012 \| doi = 10.1097/SLA.0b013e3182507646 \| PMID = 22470079 }}</ref>
			*Gallstones may compress the common bile duct - known as ''Mirizzi Syndrome''.<ref name=pmid25672201>{{Cite journal \| last1 = Khalid \| first1 = S. \| last2 = Bhatti \| first2 = AA. \| title = Mirizzi's syndrome: an interesting on table finding. \| journal = J Ayub Med Coll Abbottabad \| volume = 26 \| issue = 4 \| pages = 621-4 \| month = \| year = \| doi = \| PMID = 25672201 }}</ref>
			**Can be associated with jaundice.<ref name=pmid25513064>{{Cite journal \| last1 = Elhanafy \| first1 = E. \| last2 = Atef \| first2 = E. \| last3 = El Nakeeb \| first3 = A. \| last4 = Hamdy \| first4 = E. \| last5 = Elhemaly \| first5 = M. \| last6 = Sultan \| first6 = AM. \| title = Mirizzi Syndrome: How it could be a challenge. \| journal = Hepatogastroenterology \| volume = 61 \| issue = 133 \| pages = 1182-6 \| month = \| year = \| doi = \| PMID = 25513064 }}</ref>

	The two types of gallstones:		The two types of gallstones:

Sarah: /* Microscopic */

2015-04-11T07:51:53Z

Microscopic

← Older revision		Revision as of 07:51, 11 April 2015
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	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma LP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - Low power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma LP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - Low power (SKB)
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)
	~~Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma MP CTR.jpg\|Gall Bladder - Malignant gland infiltrating stroma - High power (SKB)~~
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP3 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP3 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP2 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP2 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP4 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - ~~High~~ power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma MP CTR.jpg\|Gall Bladder - - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - Malignant gland infiltrating stroma - High power (SKB)
			Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP4 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - - Malignant gland infiltrating stroma - Very high power (SKB)
	Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia LP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Low power (SKB)		Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia LP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Low power (SKB)
	Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia MP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Medium power (SKB)		Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia MP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Medium power (SKB)

← Older revision		Revision as of 07:51, 11 April 2015
Line 274:		Line 274:
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma LP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - Low power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma LP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - Low power (SKB)
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)
	~~Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma MP CTR.jpg\|Gall Bladder - Malignant gland infiltrating stroma - High power (SKB)~~
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP3 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP3 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP2 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP2 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - High power (SKB)
	Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP4 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - ~~High~~ power (SKB)		Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma MP CTR.jpg\|Gall Bladder - - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - Malignant gland infiltrating stroma - High power (SKB)
			Image:GallBladder IntracysticPapillaryNeoplasm WA InvasiveAdenocarcinoma HP4 CTR.jpg\|Gall Bladder - Intracholecystic Papillary Neoplasm with Invasive Adenocarcinoma - - Malignant gland infiltrating stroma - Very high power (SKB)
	Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia LP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Low power (SKB)		Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia LP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Low power (SKB)
	Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia MP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Medium power (SKB)		Image:Gallbladder IntracysticPapillaryNeoplasm HighGradeDysplasia MP PA.JPG\|Gall Bladder - Intracholecystic Papillary Neoplasm with high grade dysplasia - Medium power (SKB)

Gallbladder - Revision history

Michael: /* Gallbladder adenoma */

Michael: /* Gallbladder adenoma */ split out

Michael: /* Gallbladder adenoma */

Mitchell: /* Xanthogranulomatous cholecystitis */ *added pancreatic heterotopia

Michael: /* Sign out */

Michael: /* Antral type metaplasia */

Michael: /* Cholelithiasis */

Michael: /* Cholelithiasis */ split out

Michael: /* General */

Sarah: /* Microscopic */

Mitchell: /* Xanthogranulomatous cholecystitis / added pancreatic heterotopia