A Huge Intraductal Papillary Neoplasm of the Bile Duct Treated by Right Trisectionectomy After Right Portal Vein Embolization

Overview

Journal Ann Hepatobiliary Pancreat Surg

Date 2018 Jun 14

PMID 29896576

Citations 2

Authors

Vusal Aliyev

Kentaro Yasuchika

Ahmed Hammad

Tetsuya Tajima

Ken Fukumitsu

Koichiro Hata

Hideaki Okajima

Shinji Uemoto

Affiliations

Soon will be listed here.

Abstract

Intraductal papillary neoplasm of the bile duct (IPNB) is a rare variant of bile duct tumors characterized by papillary growth within the bile duct lumen and recognized precursor of invasive carcinoma. IPNB was detected incidentally in a 60-year-old woman during check up. Radiologic images revealed a huge cystic mass with papillary projection and markedly dilated bile ducts. Biopsies revealed high-grade IPNB. Cholangioscopy detected a connection between the right posterior bile duct and cyst lumen with epithelial dysplasia of the bile duct. Right posterior sectional duct opened in the left hepatic duct. Consequently, right trisectionectomy and extrahepatic bile duct resection were conducted. Histological studies revealed intraductal papillary neoplasm with high-grade intraepithelial neoplasia (carcinoma in situ). IPNB patients without distant metastases are candidates for surgery and complete resection should be conducted to achieve long-term survival.

Citing Articles

Intraductal Papillary Neoplasms of the Bile Duct: Clinical Case Insights and Literature Review.

Toti L, Manzia T, Giuliano F, Picchi E, Tariciotti L, Pedini D Clin Pract. 2024; 14(5):1669-1681.

PMID: 39311283 PMC: 11417733. DOI: 10.3390/clinpract14050133.

Surgical Treatment of Intraductal Papillary Neoplasm of the Bile Duct: A Report of Two Cases and Review of the Literature.

Li B, Liu Z, Meng Z, Li M, Tian W, Liu Q Front Oncol. 2022; 12:916457.

PMID: 35814451 PMC: 9259795. DOI: 10.3389/fonc.2022.916457.

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