scholarly journals Long-term observation and treatment of a widespread intraductal papillary neoplasm of the bile duct extending from the intrapancreatic bile duct to the bilateral intrahepatic bile duct: A case report

2017 ◽  
Vol 38 ◽  
pp. 166-171 ◽  
Author(s):  
Daisuke Hokuto ◽  
Takeo Nomi ◽  
Satoshi Yasuda ◽  
Takahiro Yoshikawa ◽  
Kohei Ishioka ◽  
...  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Rumi Matono ◽  
Mizuki Ninomiya ◽  
Kazutoyo Morita ◽  
Takahiro Tomino ◽  
Yumi Oshiro ◽  
...  

2017 ◽  
Vol 1 (4) ◽  
Author(s):  
Katsuhiro Tomofuji ◽  
Yoshihiro Mise ◽  
Hiromichi Ito ◽  
Takeaki Ishizawa ◽  
Yosuke Inoue ◽  
...  

2016 ◽  
Vol 117 (4) ◽  
pp. 260-263 ◽  
Author(s):  
Karen Peeters ◽  
Peter Delvaux ◽  
Frederik Huysentruyt

2019 ◽  
Vol 27 (8) ◽  
pp. 900-906
Author(s):  
Genki Usui ◽  
Hirotsugu Hashimoto ◽  
Masashi Kusakabe ◽  
Go Shirota ◽  
Yoshiya Sugiura ◽  
...  

Carcinosarcomas with elements of cholangiocarcinoma and sarcoma are rare and have a poor prognosis. The spreading pattern and radiological findings of these lesions remain unclear. A 74-year-old man presented with a high γ-glutamyl transferase level. Magnetic resonance imaging revealed dilation of the right intrahepatic and common bile ducts, consistent with an intraductal papillary neoplasm of the bile duct (IPNB), and diffusion-weighted imaging (DWI) indicated an area of high signal intensity in the intrahepatic bile duct. Bile duct biopsy yielded a small amount of atypical spindle cells, and the patient underwent a right hepatectomy. Microscopically, the tumor contained cholangiocarcinoma and sarcomatous components, including osteosarcoma and leiomyosarcoma, leading to a diagnosis of intrahepatic carcinosarcoma. The tumor spread primarily through the intrahepatic bile duct. An accurate radiological diagnosis of carcinosarcoma was challenging, given the apparent similarities with IPNB. The findings from DWI and pathology of a bile duct biopsy may assist with preoperative diagnosis.


2018 ◽  
Vol 51 ◽  
pp. 102-106 ◽  
Author(s):  
Yumiko Kageyama ◽  
Ryuzo Yamaguchi ◽  
Shinya Watanabe ◽  
Keiji Aizu ◽  
Fumiya Sato ◽  
...  

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