胆总管病变——胆管镜检查如何有助于排除胆管内乳头状肿瘤：病例报告
Common bile duct lesions - how cholangioscopy helps rule out intraductal papillary neoplasms of the bile duct: A case report.
作者信息
Cocca Silvia, Grande Giuseppe, Reggiani Bonetti Luca, Magistri Paolo, Di Sandro Stefano, Di Benedetto Fabrizio, Conigliaro Rita, Bertani Helga
机构信息
Endoscopy Unit, Azienda Ospedaliero-Universitaria di Modena, Modena 41121, MO, Italy.
Department of Pathologic Anatomy, University of Modena and Reggio Emilia, Modena 41124, MO, Italy.
出版信息
World J Gastrointest Endosc. 2020 Dec 16;12(12):555-559. doi: 10.4253/wjge.v12.i12.555.
BACKGROUND
Intraductal papillary neoplasm of the bile duct (IPNB) is a rare variant of bile duct tumors, characterized by an exophytic growth exhibiting a papillary mass within the bile duct lumen and it can be localized anywhere along the biliary tree, with morphological variations and occasional invasion.
CASE SUMMARY
We present a patient with obstructive jaundice who was diagnosed with IPNB using cholangioscopy during endoscopic retrograde cholangio-pancreatography. Using the SpyGlass DS II technology, we were able to define tumor extension and obtain targeted Spy-byte biopsies. After multidisciplinary evaluation, the patient was scheduled for surgical resection of the tumor, which was radically removed.
CONCLUSION
Cholangioscopy appears to be crucial for the rapid and clear diagnosis of lesions in the bile duct to achieve radical surgical resection.
背景
胆管内乳头状肿瘤（IPNB）是胆管肿瘤的一种罕见变体，其特征为呈外生性生长，在胆管腔内表现为乳头状肿物，可位于胆道树的任何部位，具有形态学变异且偶有浸润。
病例摘要
我们报告一名患有梗阻性黄疸的患者，在内镜逆行胰胆管造影术期间通过胆管镜检查诊断为IPNB。使用SpyGlass DS II技术，我们能够确定肿瘤范围并获取靶向Spy-byte活检样本。经过多学科评估，该患者被安排进行肿瘤的手术切除，肿瘤被根治性切除。
结论
胆管镜检查对于快速、明确诊断胆管病变以实现根治性手术切除似乎至关重要。
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