Intracholecystic papillary neoplasm of the gallbladder protruding into the common bile duct: A case report.
gastric-type
intracholecystic papillary neoplasm of the gallbladder
intraductal papillary mucinous neoplasm
intraductal papillary neoplasm of the bile duct
mucin-producing tumor
oncocytic-type
Journal
Molecular and clinical oncology
ISSN: 2049-9450
Titre abrégé: Mol Clin Oncol
Pays: England
ID NLM: 101613422
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
09
04
2019
accepted:
14
08
2019
entrez:
12
10
2019
pubmed:
12
10
2019
medline:
12
10
2019
Statut:
ppublish
Résumé
The current study indicates the case of intracholecystic papillary neoplasm (ICPN) protruding into the common bile duct (CBD) without superficial spread. A 58-year-old woman presented to hospital with a fever that lasted for three days. Laboratory tests revealed elevated hepatobiliary enzyme levels. CT, MRI and endoscopic ultrasonography revealed a polypoid, papillary tumor inside the gallbladder cavity, which also extended to the CBD. On peroral cholangioscopy, a papillary tumor with mucin production was found at the middle bile duct. Biliary biopsy and bile cytology indicated adenocarcinoma. Based on a diagnosis of ICPN extending to the CBD, the patient underwent subtotal stomach-preserving pancreaticoduodenectomy and gallbladder bed resection. However, pathological examination revealed that the ICPN was confined to the gallbladder and cystic duct, whereas the CBD was tumor-free. The present case indicates that when ICPN increases in size, it may protrude into the CBD due to an increased intracholecystic pressure, which increases the risk of overestimation of tumor extension and may result in unnecessary additional bile duct resection.
Identifiants
pubmed: 31602301
doi: 10.3892/mco.2019.1919
pii: MCO-0-0-1919
pmc: PMC6776826
doi:
Types de publication
Journal Article
Langues
eng
Pagination
488-492Informations de copyright
Copyright: © Yokode et al.
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