Intrahepatic intraductal papillary cystic neoplasm of the bile duct: A case report.

Autor:	Baltagiannis EG; HPB Unit, Department of Surgery, University Hospital of Ioannina and School of Medicine, University of Ioannina, Ioannina, Greece., Kalyvioti C; HPB Unit, Department of Surgery, University Hospital of Ioannina and School of Medicine, University of Ioannina, Ioannina, Greece., Glantzouni A; Department of Radiology, 'G. Hatzikosta' General Hospital, Ioannina, Greece., Batistatou A; Department of Pathology, University Hospital of Ioannina and School of Medicine, University of Ioannina, Ioannina, Greece., Tzimas P; Department of Anesthesiology, University Hospital of Ioannina and School of Medicine, University of Ioannina, Ioannina, Greece., Glantzounis GK; HPB Unit, Department of Surgery, University Hospital of Ioannina and School of Medicine, University of Ioannina, Ioannina, Greece.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2021 Feb 12; Vol. 63, pp. 102167. Date of Electronic Publication: 2021 Feb 12 (Print Publication: 2021).
DOI:	10.1016/j.amsu.2021.02.013
Abstrakt:	Introduction and Importance: Intraductal papillary neoplasm of the bile duct (IPNB) is a tumour with a very low incidence in the Western world, characterised by a high risk of malignant transformation and unknown prognosis. It is a new entity which was adopted by the WHO in 2010 as a precursor lesion of cholangiocarcinoma. Intrahepatic bile duct is the most common site of origin for IPNB. Case Presentation: Hereby, we present a case of an asymptomatic 63- year-old man, referred to our department after routine ultrasonography showing a multifocal cystic lesion on the left hepatic lobe. Further screening modalities (CT, MRI abdo) confirmed a complex cystic liver lesion with atypical features. The patient underwent left hepatectomy. Histopathology showed a cystic type intrahepatic IPNB, which was completely resected (R0). The follow up in 2 yrs post-operation showed no signs of recurrence. Clinical Discussion: The diagnosis and management of IPNB remain challenging. A multimodality imaging approach is essential in order to diagnose IPNB, assess tumour location and extent and plan the optimal treatment strategy. Conclusion: Complete surgical resection (R0) with close postoperative follow-up offers long-term survival. Competing Interests: There are no conflicts of interest. (© 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
Databáze:	MEDLINE
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