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胆管内乳头状肿瘤:一种罕见实体的放射学诊断:病例系列

Intraductal Papillary Neoplasm of the Bile Duct: Radiological Diagnosis of a Rare Entity: Case Series.

作者信息

Jain Kaustav

机构信息

Maulana Azad Medical College and Associated Lok Nayak Hospital, Radiology, New Delhi, India.

出版信息

Euroasian J Hepatogastroenterol. 2023 Jan-Jun;13(1):28-31. doi: 10.5005/jp-journals-10018-1385.

Abstract

BACKGROUND

Intraductal papillary neoplasm of the bile duct (IPNB) is a rare bile duct neoplasm characterized by an intraluminal papillary growth pattern in bile ducts and is considered a biliary counterpart of intraductal papillary mucinous neoplasm of the pancreas.

CASE DESCRIPTION

We report here two cases. (1) A case of a 34-year-old woman who presented with complaints of pain in the abdomen, jaundice, and pruritus. Further radiological investigations revealed the possibility of an IPNB, which was confirmed on histopathology. (2) A case of a 61-year-old man who was a known case of Barrett's esophagus and presented with complaints of right upper abdomen and jaundice. Radiological investigations and histopathology further confirmed the diagnosis of an IPNB involving the extrahepatic bile ducts. The purpose of this article is to highlight the role of computed tomography (CT) and magnetic resonance imaging in reaching this challenging diagnosis.

CONCLUSION

Although the diagnosis is not straightforward, imaging plays a great role in raising the possibility of an IPNB. The correct preoperative diagnosis is necessary for accurate surgical planning and resection.

HOW TO CITE THIS ARTICLE

Jain K. Intraductal Papillary Neoplasm of the Bile Duct: Radiological Diagnosis of a Rare Entity: Case Series. Euroasian J Hepato-Gastroenterol 2023;13(1):28-31.

摘要

背景

胆管内乳头状瘤(IPNB)是一种罕见的胆管肿瘤,其特征为胆管内呈乳头状生长模式,被认为是胰腺导管内乳头状黏液性肿瘤的胆管对应物。

病例描述

我们在此报告两例病例。(1)一名34岁女性,主诉腹痛、黄疸和瘙痒。进一步的影像学检查显示可能为IPNB,组织病理学检查得以确诊。(2)一名61岁男性,已知患有巴雷特食管,主诉右上腹疼痛和黄疸。影像学检查和组织病理学检查进一步确诊为累及肝外胆管的IPNB。本文旨在强调计算机断层扫描(CT)和磁共振成像在做出这一具有挑战性的诊断中的作用。

结论

尽管诊断并非易事,但影像学检查在提高IPNB的可能性方面发挥着重要作用。正确的术前诊断对于准确的手术规划和切除至关重要。

如何引用本文

Jain K.胆管内乳头状瘤:一种罕见实体的影像学诊断:病例系列。《欧亚肝脏胃肠病学杂志》2023年;13(1):28 - 31。

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