Grading der Tumoren des hepatobiliären Systems

Tannapfel, Andrea

doi:10.1007/s00292-016-0176-6

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Adenoma is also a type of neoplastic polyp of the GB and is usually classified into tubular, papillary, and mixed types. 5 Epidemiological data have shown that tubular adenomas are less common with a lower risk of malignant transformation than papillary adenomas, and papillary adenomas are considered a premalignant condition of the GB.…”

Section: Discussionmentioning

confidence: 99%

Gastric schwannoma coexisting with tubular adenoma of the gallbladder: a rare combination

et al. 2023

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We report a case of a man in his early 50 s who was admitted to our hospital for anorexia. An imaging examination led to a preoperative diagnosis of a gastrointestinal stromal tumor and gallbladder stones. He underwent treatment by laparoscopic cholecystectomy and distal partial gastrectomy with lymph node dissection. The final histopathological diagnosis was gastric schwannoma and tubular adenoma of the gallbladder. Gastric schwannoma accounts for only 0.2% of all gastric tumors, and tubular adenoma constitutes only 2.2% of gallbladder tumors. This report describes the diagnosis and treatment process for this combination of tumors, thus providing a reference for similar cases.

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Section: Discussionmentioning

confidence: 99%

Gastric schwannoma coexisting with tubular adenoma of the gallbladder: a rare combination

et al. 2023

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Progression to invasive cancer after snare polypectomy of intracholecystic papillary neoplasms during gallbladder stone removal by percutaneous transhepatic choledochoscopy: a case report

Dong

2020

BMC Gastroenterol

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Background Intracholecystic papillary neoplasms (ICPNs) of the gallbladder are rare, preinvasive lesions characterized by an intracholecystic papillary growth that may be associated with invasive adenocarcinoma. The natural history of ICPN is unknown. Here, we report a case of ICPN, highlighting its natural course. Case presentation A 79-year-old woman presented to the emergency department with perforated cholecystitis. After percutaneous transhepatic gallbladder drainage, due to the presence of surgical risk factors, we opted to perform gallstone removal through percutaneous transhepatic cholangioscopy instead of cholecystectomy. ICPN, which was accidentally detected after the removal of the gallbladder stones, was also endoscopically removed. After 4 years, the patient came back to the hospital with a large gallbladder mass. After cholecystectomy, pathological examination revealed ICPN with invasive adenocarcinoma. Conclusion The current case showed endoscopic findings of ICPN and its natural progression, particularly its clinicopathological features and outcomes.

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Diagnosis and Treatment of Gallbladder Polyps: Current Perspectives

Dılek

Karasu

Dılek

2019

Euroasian Journal of Hepato-Gastroenterology

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Introduction: Gallbladder polyps (GBPs) are generally harmless, but the planning of diagnosis and treatment of the GBP is of clinical importance due to the high mortality risk of delays in the diagnosis of gallbladder carcinomas that show polypoid development. Materials and methods: GBPs are usually incidentally detected during ultrasonographic (USG) examinations of the abdomen. The risk of carcinoma development from polypoid lesions in the literature is reported as 0-27%. There is no consensus about the management of the GBPs. Herein, we reviewed the contemporary data to update our knowledge about diagnosis and treatment of gallbladder polyps. Results: Polyps can be identified in five different groups, primarily as neoplastic and non-neoplastic. Cholesterol polyps account for 60% of all cases. The most common (25%) benign polypoid lesions after cholesterol polyps are adenomyomas. Conclusion: Ultrasonography and endoscopic ultrasonography seems to be the most important tool in differential diagnosis and treatment. Ultrasonography should be repeated in every 3-12 months in cases that are thought to be risky. Nowadays, the most common treatment approach is to perform cholecystectomy in patients with polyps larger than 10 mm in diameter. Radical cholecystectomy and/or segmental liver resections should be planned in cases of malignancy.

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Grading der Tumoren des hepatobiliären Systems

Cited by 3 publications

References 15 publications

Gastric schwannoma coexisting with tubular adenoma of the gallbladder: a rare combination

Gastric schwannoma coexisting with tubular adenoma of the gallbladder: a rare combination

Progression to invasive cancer after snare polypectomy of intracholecystic papillary neoplasms during gallbladder stone removal by percutaneous transhepatic choledochoscopy: a case report

Diagnosis and Treatment of Gallbladder Polyps: Current Perspectives

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