Carcinoma of the pancreas.A 67-year old man who presented with pulmonary metastases and an
unknown primary. An endoscopy was performed and this revealed an
ulcerating lesion at the ampulla of Vater. This was biopsied and found
to be an adenocarcinoma.
The endoscopic picture shows the ulcerating lesion in the top left
corner. It is partially obscured by the ampulla.
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