Pancreas Gross Scirrhous adenocarcinoma in the head of the pancreas. Pancreatic carcinoma often stimulate a marked fibrous response giving the tumors the hard, gray white gross appearance. 68 Pancreas Gross Adenocarcinoma in tail of pancreas. The poorlydefined gray-white area is the carcinoma. Liver Gross Non-cirrhotic liver with scirrhous metastases from pancreatic carcinoma.
Greenish areas represent cholestatsis from tumor obstructing bile ducts.
70 Mesentery Gross Implantation metasteses from adenocarcinoma arising from the tail of the pancreas. 71 Liver and duodenum Gross Carcinoma of the extrahepatic bile ducts showing massive direct extension or invasion into the liver as well as separate metastases. The dark green is from extensive cholestasis from bile duct obstruction. 72 Duodenum Gross Papillary carcinoma of the ampulla of Vater seen in the opened common bile duct. The probe is in the pancreatic duct.