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The patient was a middle aged, married, businessman having complaints of abdominal pain,weight loss and loss of appetite for short duration. His upper GI endoscopy revealed a growth restricted to duodenal bulb with multiple space occupying lesions (SOL) in liver. Histopathology of tissue obtained at endoscopic biopsy from duodenal growth and cytology of ultrasonography guided fine needle aspirate from hepatic SOL confirmed the diagnosis of primary duodenal adenocarcinoma with secondary metastasis to liver.
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