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Case prepared by: Jennifer Scudiere MD
GI Pathology Fellow
Attending: Christine Iacobuzio-Donahue, M.D., Ph.D.
  Case 45
Clinical History: The patient is a 47-year old woman who was diagnosed with adenocarcinoma of the colon with metastases to multiple sites. She came to clinical attention when her dentist noted an enlarged cervical lymph node during a routine dental exam. The patient subsequently underwent a liver resection and cholecystectomy as part of her treatment; the photographs shown here are from the cholecystectomy specimen. Spherical structures are seen within the biopsy. What are these spherical structures?
Image 1 Image 1
Image 2 Image 2
Image 3 Image 3
Image 4 Image 4
Choose the correct diagnosis:
  a. Parasitic infection
  b. Radiation beads
  c. CMV cholecystitis
  d. Dystrophic calcification
  e. Formalin pigment

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