肝脏尾状叶胆管内乳头状黏液性肿瘤：一例报告及文献复习

Zhu Xunhao, Ni Qingqiang, Wang Qianchang, Ma Chaoqun, Yang Faji, Gao Hengjun, Zhu Huaqiang, Zhou Xu, Chang Hong, Lu Jun, Liu Fangfeng

Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.

Front Oncol. 2023 Jul 3;13:1114514. doi: 10.3389/fonc.2023.1114514. eCollection 2023.

An intraductal papillary mucinous neoplasm of the biliary tract (BT-IPMN) in the caudate lobe of the liver is a rare tumor originating from the bile duct. Approximately 40% of the intraductal papillary neoplasms of the biliary tract (IPNB) secrete mucus and can grow in the intrahepatic or extrahepatic bile ducts. A 65-year-old woman presented with recurrent episodes of right upper pain. She developed her first episode 8 years ago, which resolved spontaneously. The frequency of symptoms has increased in the last 2 years. She underwent laparoscopic hepatectomy and choledochal exploration and was pathologically diagnosed with a rare BT-IPMN of the caudate lobe after admission. Here, we review studies on IPNB cases and systematically describe the pathological type, diagnosis, and treatment of IPNB to provide a valuable reference for hepatobiliary surgeons in the diagnosis and treatment of this disease.

肝脏尾状叶的胆管内乳头状黏液性肿瘤（BT-IPMN）是一种起源于胆管的罕见肿瘤。约40%的胆管内乳头状肿瘤（IPNB）会分泌黏液，可在肝内或肝外胆管生长。一名65岁女性反复出现右上腹疼痛。她8年前首次发作，疼痛自行缓解。在过去2年中症状发作频率增加。入院后，她接受了腹腔镜肝切除术和胆总管探查，病理诊断为罕见的肝脏尾状叶BT-IPMN。在此，我们回顾IPNB病例的研究，并系统描述IPNB的病理类型、诊断和治疗，为肝胆外科医生诊断和治疗该疾病提供有价值的参考。