Association between anomalous pancreaticobiliary ductal union and adenomyomatosis of the gall-bladder
| Autor: | Tsuneshi Fujii, Kuniyuki Takahashi, Noriyuki Nishino, Takeshi Obara, Yutaka Kohgo, Hiroyuki Maguchi, Ryushi Shudo, Yusuke Mizukami, Satoshi Tanno, Satoshi Arisato, Hitoshi Ura |
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| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Gastroenterology Congenital Abnormalities Endosonography Cholangiography Internal medicine Carcinoma medicine Humans Retrospective Studies Adenomyomatosis Common Bile Duct Pancreatic duct Hepatology medicine.diagnostic_test business.industry Incidence Gallbladder Incidence (epidemiology) Pancreatic Ducts Retrospective cohort study Middle Aged medicine.disease medicine.anatomical_structure Female Gallbladder Neoplasms Cholecystectomy business Adenomyoma |
| Zdroj: | Journal of Gastroenterology and Hepatology. 13:175-180 |
| ISSN: | 1440-1746 0815-9319 |
| Popis: | A frequent association of biliary tract carcinoma and anomalous pancreaticobiliary ductal union (APBD) is well recognized, especially gall-bladder carcinoma in undilated type APBD. However, little is known about the presence and incidence of adenomyomatosis (AMT) of the gall-bladder, a presumed premalignant lesion, in patients with APBD. This retrospective study was conducted to elucidate the clinical features and incidence of AMT in APBD patients with relation to undilated type and dilated type APBD. We reviewed the clinicopathological records of 30 patients with APBD (28 women and two men) encountered during the past 10 years. Among them, 22 patients underwent cholecystectomy and the resected specimens were subjected to histopathological examinations. Eleven cases of APBD patients were undilated type and 11 cases were dilated type. Adenomyomatosis was found in six (55%) of 11 undilated type and one (9%) of 11 dilated type, and fundal type was predominantly observed in six (86%) of seven AMT. An overall incidence of AMT in APBD patients was 32%. An undilated type of APBD is frequently associated with AMT and we believe, therefore, that clinicians should be aware of a possible coexistence of APBD and AMT. |
| Databáze: | OpenAIRE |
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