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March 31, 2026Histopathology

Primary gallbladder carcinomas showing pancreatic acinar features in the absence of a pancreatic primary

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Authors

OYOsman H. YilmazBABerk Kaan AktasNTNuray Tezcan

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Overview

A series of gallbladder carcinomas exhibit acinar features, indicating a new potential diagnostic variant.

Key Points

  • To investigate gallbladder carcinomas with acinar differentiation in the absence of pancreatic lesions.
  • Identified three gallbladder carcinomas with acinar features from an international cohort.
  • Reviewed clinical, radiologic, histologic, and immunophenotypic characteristics.
  • Conducted molecular profiling to identify genetic alterations.
  • All tumors lacked an associated pancreatic primary on imaging.
  • Two tumors formed well-demarcated nodules; one showed wall thickening.
  • One tumor was associated with high-grade dysplasia and BCL10-positive glands.
  • Heterogeneous alterations included TP53 mutations in two cases.

Cite This Study

Yilmaz et al. (2026) studied this question.

synapsesocial.com/papers/69cb6589e6a8c024954b98b6https://doi.org/10.1111/his.70145
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