Adenomas of the bile ducts are rare and unusual causes of bile duct obstruction. In
Korea, 1 case of papillary adenoma, 5 cases of villous adenoma, 10 cases of biliary papillomatosis, and 1 case of tubulovillous adenoma have been reported. Preoperative diagnosis
for these lesions is difficult to render as they can often mimic biliary stones. A case of
bile duct tubulovillous adenoma with high grade epithelial dysplasia in a 65-year-old man,
is herein reported. It was difficult to diagnose because of coexisting biliary stones. In
addition, confusing classification and terminology of bile duct adenomas were reviewed.