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Intraductal Papillary Neoplasm of the Bile Duct Posing Diagnostic and Therapeutic Challenges.
Cureus
November 2024
Surgical Gastroenterology, Madras Medical College, Chennai, IND.
Intraductal papillary neoplasms of the bile duct are rare tumors with fibrovascular stalks arising from the bile duct. It is often difficult to diagnose preoperatively, especially from mucinous cystic neoplasms. The incidence is more common in Asian countries and rare in Western countries.
View Article and Find Full Text PDFEndoscopic treatment for early duodenal papillary carcinoma: long-term outcomes.
J Gastroenterol Hepatol
July 2024
Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.
Background And Aim: This study aims to determine whether endoscopic papillectomy (EP) is a safe and effective treatment for early duodenal papillary carcinoma with long-term follow-up.
Methods: From June 2012 to September 2022, 48 patients with early duodenal papilloma carcinoma who received endoscopic treatment were included. The histological types, percentage of complete resections, postoperative residuals, adverse events, and recurrences were evaluated.
Intraductal papillary neoplasm of the bile duct: The new frontier of biliary pathology.
World J Gastroenterol
October 2023
Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona 60126, Italy.
Intraductal papillary neoplasms of the bile duct (IPNBs) represent a rare variant of biliary tumors characterized by a papillary growth within the bile duct lumen. Since their first description in 2001, several classifications have been proposed, mainly based on histopathological, radiological and clinical features, although no specific guidelines addressing their management have been developed. Bile duct neoplasms generally develop through a multistep process, involving different precursor pathways, ranging from the initial lesion, detectable only microscopically, biliary intraepithelial neoplasia, to the distinctive grades of IPNB until the final stage represented by invasive cholangiocarcinoma.
View Article and Find Full Text PDFBiliary papillomatosis.
Acta Gastroenterol Belg
November 2023
Department of Gastroenterology and Hepatology, University Hospitals Gasthuisberg, Leuven, Belgium.
Biliary papillomatosis (BP) is a rare disorder of the biliary tract characterized by the presence of multiple papillary adenomas spread along the biliary tree. Although benign, it carries a significant risk of malignant transformation. Due to low sensitivity and specificity of conventional radiologic modalities, the diagnosis as well as estimation of disease extent is difficult.
View Article and Find Full Text PDFIntraductal Papillary Neoplasm of the Bile Duct: Radiological Diagnosis of a Rare Entity: Case Series.
Euroasian J Hepatogastroenterol
January 2023
Maulana Azad Medical College and Associated Lok Nayak Hospital, Radiology, New Delhi, India.
Background: Intraductal papillary neoplasm of the bile duct (IPNB) is a rare bile duct neoplasm characterized by an intraluminal papillary growth pattern in bile ducts and is considered a biliary counterpart of intraductal papillary mucinous neoplasm of the pancreas.
Case Description: We report here two cases. (1) A case of a 34-year-old woman who presented with complaints of pain in the abdomen, jaundice, and pruritus.
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