20 33

낭성 담도 확장을 동반한 담도 유두종증 1예

Other Titles
 A Case of Biliary Papillomatosis with Cystic Dilatation of Bile Duct 
Authors
 박유미  ;  이광원  ;  윤선옥  ;  하지윤  ;  박소영  ;  이정호  ;  장성일 
Citation
 Yeungnam University Journal of Medicine (영남의대학술지), Vol.29(2) : 136-140, 2012 
Journal Title
 Yeungnam University Journal of Medicine (영남의대학술지) 
ISSN
 1225-7737 
Issue Date
2012
Keywords
Papilloma ; Cystadenocarcinoma ; Biliary tract neoplasm
Abstract
A 61-year-old male who complained of right upper quadrant pain was referred to the authors for evaluation after his computed tomography suggested biliary adenocarcinoma. The lesion consisted of multiple cysts with papillary mass and peri-ampullay mass. The patient underwent an operation due to a clinical suspicion of biliary cystadenocarcinoma, but the pathology confirmed biliary papillomatosis (BP) after diagnosing intrahepatic papillary neoplasm with high-grade dysplasia and invasive adenocarcinoma with papillary neoplasm from the distal common bile duct to the duodenum. BP is a disease characterized by multiple papillary masses. Its cause has yet to be discovered. It commonly manifests as bile duct dilation but rarely as a ductal cystic change. Under computed tomography or magnetic resonance imaging, both the BP and the cystic neoplasm can show bile duct dilation and a papillary mass, which makes their differential diagnosis difficult. A confirmative diagnosis can be made through a pathologic examination. BP is classified as a benign disease that can become malignant and may recur, though rarely. Its treatment of choice is surgical resection. Laser ablation or photodynamic therapy can be used for unresectable lesions. In the case featured in this paper, biliary papillomatosis was difficult to differentiate from cystic adenocarcinoma due to diffusely scattered multiple large cystic lesions in the liver, and it was histologically confirmed to have become malignant with cystic duct dilation after the operation. This case is reported herein with a literature review.
Files in This Item:
T999900032.pdf Download
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
Yonsei Authors
박소영(Park, So Young)
윤선옥(Yoon, Sun Och) ORCID logo https://orcid.org/0000-0002-5115-1402
이정호(Lee, Jung Ho)
장성일(Jang, Sung Ill) ORCID logo https://orcid.org/0000-0003-4937-6167
하지윤(Ha, Ji Yoon)
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163581
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse