A Case of Biliary Papillomatosis which Underwent Curative Resection / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 111-115, 1998.
Article
in Korean
| WPRIM
| ID: wpr-173880
ABSTRACT
Biliary Papillomatosis is an extremely rare pathologic entity. Only about 40 cases of intrahepatic or diffuse intra- and extrahepatic papillomatosis have been described since the first report in 1959 by Caroli. Although this is a histologically benign lesion, its course is unfavaurable because of its tendency to extend to the entire biliary tract, high recurrence rate following local excision and the probability of progression to malignancy. We described herein a case of biliary papillomatosis associated with diffuse bile duct dilatation. The patient, a 59-year-old male, was admitted to our hospital because of right upper abdominal pain and weight loss. Cholangiogram revealed multiple round filling defects in common hepatic duct with intrahepatic bile duct dilatation. The patient underwent Whipple's operation with right lobectomy. Grossly, multiple small pin-head sized polypoid masses were seen in common bile duct, common hepatic duct and right intrahepatic duct. Microscapically, papillary epithelial hyperplasia with moderate cellular atypia was seen and there was no evidence of stromal invasion. He is healthy with a follow-up for 7 months.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Papilloma
/
Recurrence
/
Bile Ducts
/
Bile Ducts, Intrahepatic
/
Biliary Tract
/
Weight Loss
/
Abdominal Pain
/
Follow-Up Studies
/
Common Bile Duct
/
Dilatation
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
1998
Type:
Article
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