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胆管内乳头状黏液性肿瘤:文献综述及1例重点关注放射学表现的病例报告

Intraductal papillary mucinous neoplasm of biliary ducts: Literature review and a case report with emphasis on radiological manifestation.

作者信息

Adibi Atoosa, Shabanikia Niloufar, Taheri Abolfazl

机构信息

Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran.

Health Information Technology Research Center, Clinical Informationist Research Group, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2020 Dec 30;25:114. doi: 10.4103/jrms.JRMS_119_20. eCollection 2020.

Abstract

Intraductal papillary mucinous neoplasm of the biliary tract (B-IPMN) is an intraductal growing mucin producing tumor that is precursor of cholangiocarcinoma. Dilation of both upstream and downstream biliary ducts is the radiological key feature that is respectively caused by intraductal obstructive growth and massive mucin production. Although B-IPMN is rare, if the radiologist is familiar with its manifestation, can lead to early diagnosis when surgical resection can be curative. Here, we report a long standing pathologically proved case of B-IPMN with emphasis on radiological manifestation during a long time of 13 years across different imaging modalities.

摘要

胆管内乳头状黏液性肿瘤(B-IPMN)是一种导管内生长的产生黏液的肿瘤,是胆管癌的前驱病变。胆管上游和下游的扩张是影像学的关键特征,分别由导管内阻塞性生长和大量黏液产生所致。尽管B-IPMN很少见,但如果放射科医生熟悉其表现,在手术切除可治愈时可实现早期诊断。在此,我们报告一例经病理证实的长期存在的B-IPMN病例,重点介绍其在13年的时间里通过不同成像方式表现出的影像学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be70/8067891/68c45426fae6/JRMS-25-114-g001.jpg

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