Sonographic features of mucinous biliary papillomatosis: Case report and review of imaging findings

Khan, Ali; Wilson, Ian C.; Sherlock, David; DeKretser, Dan; Chisholm, Reginald

doi:10.1002/(sici)1097-0096(199803/04)26:3<151::aid-jcu7>3.0.co;2-l

Cited by 15 publications

(10 citation statements)

References 24 publications

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“…It is also our experience that a preoperative diagnosis of biliary papillomatosis could easily be missed at the first instance even if patients presented typically with biliary obstruction and underwent appropriate investigations 4,19,20. Over the years, special imaging features of biliary papillomatosis were reported using different modalities such as transabdominal ultrasound, computed abdominal tomography, ERCP, magnetic resonance cholangiography, and endoscopic ultrasound 4,5,6,19. Typically during ERCP, excessive mucin discharge could be observed from the papilla3,4 and cholangiography might show multiple filling defects of adenomata, with or without ductal dilatation 4.…”

Section: Discussionmentioning

confidence: 99%

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Biliary papillomatosis: report of seven cases and review of English literature

Yeung

AhChong

Chung

et al. 2003

Journal of Hepato-Biliary-Pancreatic Surgery

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Biliary papillomatosis is rare. Before 1993, there were only 21 cases reported in the English literature. This article reports our experience in managing this disease and reviews experiences from recent English literature. A retrospective review of patients with biliary papillomatosis was conducted in our institution. A search of the English literature between 1993 and 2002 was performed in the MEDLINE database using "biliary papillomatosis" as the keyword. Seven patients with biliary papillomatosis were treated in our hospital. Another 50 cases were reported in the recent literature. This amounted to a total of 78 cases so far reported. The male to female ratio was approximately 2 : 1. The mean age at presentation was 63 years. Most patients presented typically with cholangitis. Malignant change was present in 33 patients (42%). Concomitant intrahepatic and extrahepatic disease was noticed in 33 patients (42%). The overall resection rate was 55%. The mean survival was 28 months following resection, irrespective of histological type. Patients without tumor resection had a poorer survival of less than 11 months. Biliary papillomatosis presents typically with biliary obstruction and it occurs most often in elderly males. Resection is recommended because of the considerable malignancy rate, diffuse pattern of disease, and better survival following curative surgery. Malignant histology is not always associated with a poorer prognosis provided that radical resection can be achieved.

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Section: Discussionmentioning

confidence: 99%

“…A search of the English literature was carried out in the MEDLINE database of our local library system using “biliary papillomatosis” as the keyword. All the reported cases since 1993 are summarized in Table 2 1,…”

Section: Methodsmentioning

confidence: 99%

Biliary papillomatosis: report of seven cases and review of English literature

Yeung

AhChong

Chung

et al. 2003

Journal of Hepato-Biliary-Pancreatic Surgery

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“…Ultrasound may demonstrate a fairly well defined expansile solid intraductal mass with no distal acoustic shadowing. 3,14 However, very often the US findings are merely those of a non‐specific dilated biliary tract as in our cases. 5 In our study, however, patient 2 showed intraductal lesions in intraoperative US that were not recognized at transabdominal US.…”

Section: Discussionmentioning

confidence: 63%

Clinical and radiological features of biliary papillomatosis

Ma¹,

Lu²,

Chau³

et al. 2000

Australasian Radiology

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Biliary papillomatosis is a rare disease with strong potential for malignant degeneration. Diagnosis is often not easy and most are made intraoperatively. In the present study, five patients with biliary papillomatosis admitted between 1990 and 1997 were reviewed. Their clinical presentation, radiological and biochemical findings were analysed. The aim of the study was to discern a set of characteristic features that would enable an early diagnosis. All of the five patients presented with recurrent episodes of acute cholangitis and epigastric pain with raised serum alkaline phosphatase. Imaging modalities including ultrasound, CT, endoscopic retrograde cholangio-pancreatogram, MRI and magnetic resonance cholangio-pancreatogram were reviewed. Salient imaging features included a dilated biliary tree with multiple ill-defined and fuzzy filling defects or endoluminal frond-like mass lesions. In conclusion, biliary papillomatosis is a rare but important cause of biliary obstruction with relapsing cholangitis and obstructive jaundice. With a healthy index of suspicion, the diagnosis can be reached when the above features are available.

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“…Typisch für echte Adenome ist die farbduplexsonographische Darstellung von Gefäßen in der Polypenbasis (diese konnte bei zehn konsekutiven Patienten mit operativer Sicherung beobachtet werden). Entzündlich-granulomatöse Polypen und das Gallenblasenpapillom sind selten [75][76][77][78][79] [90]. Eine Choledocholithiasis ohne nachweisbare Gallenblasensteine ist in unseren Regionen seltener.…”

Section: Polypen Und Gallenblasenkarzinomunclassified

Aktueller Stand der Sonographie in der Gastroenterologie

Nuernberg¹,

Ignee

Dietrich

2007

Med Klin

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GALLBLADDER: Ultrasound has become widely accepted for the diagnosis of gallbladder disease. Sensitivity for cholecystolithiasis is approximately 100%. Cholezystitis including its acute and chronic complications is also a domain of ultrasound techniques. An obstruction of the bile ducts and its localization are easily recognized. Clarifying the etiology is yet another question far more difficult to answer. Ultrasound contrast agents have proven to be useful for clarification of biliary tumors. Gallbladder polyps are well detectable. Adenomas of > 1 cm are an indication for surgery, the detection of a vessel at the polyps' base by color duplex ultrasound is helpful. Gallbladder carcinomas as a disease of the older age with few early symptoms are usually detected at a late stage when the liver is already infiltrated. BILE DUCT SYSTEM: Even with the most modern equipment the sensitivity for choledocholithiasis is still largely dependent on the examiner's expertise und differs between 25% and 100%. Endosonography is more efficient (94-100%). Primary sclerosing cholangitis shows bile duct dilation like "a string of pearls" and typical perihepatic lymph node enlargement. Differentiation from early cholangiocarcinoma is difficult. PANCREAS: In diagnostic imaging of the pancreas ultrasound stands at the beginning of a diagnostic cascade. In contrast to other competing examinations it can be repeated at any time and without X-ray exposure. The informative value, though, is largely dependent on the examiner's expertise. Usually, a CT scan is additionally performed when ultrasound examination is incomplete or limited through examination condition or if doubts on diagnostic accuracy arise. In cases of acute pancreatitis, especially the assessment and follow-up of complications (exudation, necrosis, pseudocysts, vascular complications, and obstructive effects) are precious. Ductal adenocarcinoma seems to be less vascularized in comparison to the surrounding tissue, while endocrine tumors and macro- and microcystic adenoma are rather hypervascularized.

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Sonographic features of mucinous biliary papillomatosis: Case report and review of imaging findings

Cited by 15 publications

References 24 publications

Biliary papillomatosis: report of seven cases and review of English literature

Biliary papillomatosis: report of seven cases and review of English literature

Clinical and radiological features of biliary papillomatosis

Aktueller Stand der Sonographie in der Gastroenterologie

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