Intrahepatic intraductal papillary cystic neoplasm of the bile duct: A case report
Open Access
- 1 March 2021
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Medicine & Surgery
- Vol. 63, 102167
- https://doi.org/10.1016/j.amsu.2021.02.013
Abstract
Introduction and importance: Intraductal papillary neoplasm of the bile duct (IPNB) is a tumour with a very low incidence in the Western world, characterised by a high risk of malignant transformation and unknown prognosis. It is a new entity which was adopted by the WHO in 2010 as a precursor lesion of cholangiocarcinoma. Intrahepatic bile duct is the most common site of origin for IPNB. Case presentation: Hereby, we present a case of an asymptomatic 63- year-old man, referred to our department after routine ultrasonography showing a multifocal cystic lesion on the left hepatic lobe. Further screening modalities (CT, MRI abdo) confirmed a complex cystic liver lesion with atypical features. The patient underwent left hepatectomy. Histopathology showed a cystic type intrahepatic IPNB, which was completely resected (RO). The follow up in 2 yrs post-operation showed no signs of recurrence. Clinical discussion: The diagnosis and management of IPNB remain challenging. A multimodality imaging approach is essential in order to diagnose IPNB, assess tumour location and extent and plan the optimal treatment strategy. Conclusion: Complete surgical resection (RO) with close postoperative follow-up offers long-term survival.This publication has 20 references indexed in Scilit:
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