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Un patient âgé de 55 ans consulte aux urgences pour un ictère et un tableau d'occlusion digestive haute. Le bilan biologique retrouve une élévation de la bilirubine à 40 fois la normale prédominant sur la bilirubine conjuguée. Votre externe a prescrit un dosage de CA19.9 qui est élevé à 500. Que pensez-vous de ce résultat ?

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