INTRAHEPATIC BILIARY PROLIFERATIONS: HISTOPATHOLOGY AND POTENTIAL IMMUNOHISTOCHEMICAL MARKERS

Autor: André Bubna HIRAYAMA, Evandro Sobroza de MELLO, Venâncio Avancini Ferreira ALVES
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Arquivos de Gastroenterologia, Vol 60, Iss 3, Pp 393-403 (2023)
Druh dokumentu: article
ISSN: 1678-4219
0004-2803
DOI: 10.1590/s0004-2803.23032023-107
Popis: ABSTRACT Intrahepatic biliary proliferations represent a spectrum from reactive (ductular reaction, some with atypical architecture), hamartomatous (von Meyenburg complex), benign (bile duct adenoma) and precursor/borderline entities (biliary intraepithelial neoplasia, intraductal papillary neoplasm of the bile duct) to fully malignant (cholangiocarcinoma) neoplasms. Clinical pictures and even imaging patterns may be similar, requiring refined studies aiming at histopathological and immunohistochemistry for more precise diagnosis, essential for correct patient management. This article discusses updated concepts and definitions of most relevant entities aiming more specifically at the differential diagnosis in practice, focusing on morphology and immunohistochemistry, with a discussion of potential markers to help distinguishing between benign and malignant lesions.
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