Benign Tumors of the Extrahepatic Bile Ducts

DOWDY, GERALD S.

doi:10.1001/archsurg.1962.01310030151024

Cited by 76 publications

(23 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Adenomyoma is thought to represent a focal type of diverticulosis associated with muscular hypertrophy or hamartoma. Although infrequent, the clinical importance of such maladies lies in the recognition of their existence and Offprint requests to: S. Imai (Received for publication on Aug. 5,1994; accepted on Oct. 28, 1994) their potential to cause obstructive jaundice. The optimal treatment of these tumors has not been established.…”

Section: Introductionmentioning

confidence: 99%

Adenomyoma of the common hepatic duct

Imai¹,

Uchiyama²,

Suzuki³

et al. 1995

J Gastroenterol

View full text Add to dashboard Cite

A very rare case of adenomyoma of the common hepatic duct is described. A 54-year-old woman was admitted with impending obstructive jaundice secondary to adenomyoma of the common hepatic duct. Our impression, formulated from her clinical presentation, endoscopic investigations, and biochemical and radiological findings, was a cancer of the proximal common hepatic duct. The patient was treated successfully by combination surgical resection and hepaticojejunostomy. Despite our obtaining an intraoperative frozen section, final histological examination was required to confirm the diagnosis. The patient remains well 16 months postoperatively. A survey of the world literature revealed that this is the second report of adenomyoma occurring in the common hepatic duct.

show abstract

Section: Introductionmentioning

confidence: 99%

Adenomyoma of the common hepatic duct

Imai¹,

Uchiyama²,

Suzuki³

et al. 1995

J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…1 Granular cell tumor, paraganglioma, benign mesenchymal tumors, tumor-like lesions, polyp, fibroma, lipoma, neuroma, granuloma, melanoma, carcinoid, glandular polyp, hamartoma, adenomyoma, leiomyoma, granular cell myoblastoma, and inflammatory polyp are also found in the literature. 2,[8][9][10][11][12][13][14][15] Ikei et al 16 reported stenosis in the lower bile duct resulting from hyperplasia of the submucosal mucous glands and smooth muscle, and called the lesion adenofibromyomatous hyperplasia of glands. Hyperplasia is categorized among epithelial abnormalities and is defined as the proliferation of luminal and glandular epithelium which may lead to papillary 17,18 Such hyperplastic lesions reported to date have been located at the distal end of the common bile duct.…”

Section: Discussionmentioning

confidence: 99%

Papillary adenoma of the distal common bile duct

Inagaki

Ishizaki

Kino

et al. 1999

Journal of Gastroenterology

View full text Add to dashboard Cite

A 73-year-old man with a papillary adenoma located in the distal common bile duct is reported. He underwent pylorus-preserving pancreatoduodenectomy. The lesion in the common bile duct featured papillary proliferation of the epithelium and fibrous elements with diffuse infiltration by inflammatory cells. Positive staining for MIB-1 (Ki-67) and p53 was identified in the nuclei of the proliferative epithelium. These findings suggested the malignant potential of this lesion. Further progress in imaging diagnostic techniques should increase the frequency with which such lesions are discovered. Even now, if mural irregularities and defects are found in the extrahepatic biliary system, especially the distal common bile duct, the possibility of such borderline biliary adenoma should be taken into consideration when making a diagnosis.

show abstract

“…However, a variety of benign tumor such as papilloma, adenoma, granular cell myoblastoma, fibro ma. neurinoma, and hamartoma have been reported to involve the extrahepatic bile duct system [8,9], Although malignant tumors have a relatively favorable outcome with radical surgery, thus approach is unnecessary in patients with benign neoplasms. Accurate pathologic diagnosis is essential for proper management of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…If the patient presents with jaundice and/or abdominal pain due to bile duct obstruction, surgical resection or nonsurgical biliary drainage are both acceptable. Local excision and/or biliary diversion may result in lower operative morbidity and mortality than pancreatoduodenectomy and should be considered when possible [8]. In contrast, an endoscopically placed biliary endoprosthesis is noninvasive and is considered to be safe and useful for the man agement of the distal bile duct obstruction [14].…”

Section: Discussionmentioning

confidence: 99%

Adenomyomatous Hyperplasia of the Common Bile Duct

Ohta¹,

Nagakawa²,

Kawamura³

et al. 1992

Dig Surg

View full text Add to dashboard Cite

We present a rare case of adenomyomatous hyperplasia of the extrahepatic biliary system and describe the histologic features. We performed a pyloruspreserving pancreatoduodenectomy in a 62-year-old man in whom carcinoma of the bile duct was strongly suspected on histologic examination. Gross appearance of the resected specimen revealed an elevated nodule at the terminus of the common bile duct, measuring 20 × 15 × 4 mm. Histologic examination revealed fibrous thickening of the wall in the distal bile duct along with proliferation of both epithelial and smooth muscle components and moderate infiltration by inflammatory cells. The epithelial components were arranged in a lobular fashion comprised of larger ducts, smaller ductules, smooth muscle fibers, and fibrous connective tissue. Since this lesion resembled an adenomyoma or adenomyomatous hyperplasia of the papilla of Vater, we considered it to be a case of adenomyomatous hyperplasia of the common bile duct.

show abstract

Benign Tumors of the Extrahepatic Bile Ducts

Cited by 76 publications

References 16 publications

Adenomyoma of the common hepatic duct

Adenomyoma of the common hepatic duct

Papillary adenoma of the distal common bile duct

Adenomyomatous Hyperplasia of the Common Bile Duct

Contact Info

Product

Resources

About