Kawaguchi Yoshiaki, Kawashima Yohei, Maruno Atsuko, Ito Hiroyuki, Ogawa Masami, Izumi Hideki, Furukawa Daisuke, Yazawa Naoki, Nakagori Toshio, Hirabayashi Kenichi, Mine Tetsuya
Department of Gastroenterology, Tokai University School of Medicine, Isehara, Japan.
Department of Surgery, Tokai University School of Medicine, Isehara, Japan.
Case Rep Oncol. 2014 Jul 2;7(2):417-21. doi: 10.1159/000364999. eCollection 2014 May.
In recent years, the disease concept of intraductal papillary neoplasm of the bile duct (IPNB) has been attracting attention as a biliary lesion that is morphologically similar to intraductal papillary mucinous neoplasm (IPMN), which is considered to be a counterpart of IPMN. However, there are few reports on IPNB, and a consensus regarding the features of this disease is thus lacking. We experienced an extremely rare case of IPNB occurring in the bile duct at the duodenal papilla, which is a tumor presentation that has not previously been reported. Herein, we report this interesting case and discuss the possible association between IPMN and IPNB.
近年来,胆管内乳头状肿瘤(IPNB)作为一种在形态学上与导管内乳头状黏液性肿瘤(IPMN)相似的胆管病变,其疾病概念受到关注,IPMN被认为是IPNB的对应物。然而,关于IPNB的报道很少,因此缺乏对该疾病特征的共识。我们遇到了一例极为罕见的发生在十二指肠乳头胆管处的IPNB病例,这是一种此前未曾报道过的肿瘤表现形式。在此,我们报告这一有趣的病例,并讨论IPMN与IPNB之间可能的关联。