Six-year recurrence free survival after intraluminal iridium-192 therapy of human bilobar biliary papillomatosis

Gunvén, Peter; Gorsetman, Jakob; Ohlsèn, Hans; Rudén, Bengt-Inge; Lundell, G. E. F.; Skoog, Lambert

doi:10.1002/1097-0142(20000701)89:1<69::aid-cncr10>3.0.co;2-9

Cited by 27 publications

(16 citation statements)

References 7 publications

(2 reference statements)

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“…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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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: 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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“…On the other hand, a hepaticojejunostomy can palliate the liquid loss and was also effi cient, at least temporarily, in the cases in which it was tried. 2 Although there are some case reports of nonresectional therapy followed by long-term patient survival, 11 a resection still provides the best chance for cure. Liver transplantation may be the only way to achieve a cure in the case of diffuse disease, and the early results seem encouraging, 12 while other nonresectional therapies should be reserved for those with poor surgical risk, such as laser therapy and photodynamic therapy.…”

Section: Discussionmentioning

confidence: 99%

Mucin-producing intrahepatic biliary papillomatosis

et al. 2010

Surg Today

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A diagnosis of MPIBP is usually made in patients with biliary dilatation following a radiologic study. Magnetic resonance cholangiopancreatography is more valuable than other modalities in diagnosis. Mucin-producing intrahepatic biliary papillomatosis is a premalignant disease with high malignant potential. The prognosis of MPIBP is excellent if an aggressive resection is performed. A combination of cholangioscopy and frozen sections during the operation is beneficial for a radical successful surgical resection.

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“…2,5,9,10 A survey of the literature, with a focus on the last 10 years, shows the following pattern of distribution of the papillary tumors at the time of diagnosis: extra-and intrahepatic localization 58%, exclusively intrahepatic 22%, exclusively extrahepatic 14%, only in the gallbladder 3%, extrahepatic biliary tract and pancreatic duct 3%. 2,4,5,[10][11][12][13][14][15][16][17][18][19] Macroscopically the adenomas present as exophytic polypoid changes of the biliary mucosa. According to histopathological examinations these papillary tumors are considered to be primarily benign with a strong tendency towards degeneration.…”

Section: Discussionmentioning

confidence: 99%

“…An undesired effect of this treatment is the need for a permanent installation of a biliary stent because of a stenosis in the hepatic duct. 4 In cases of bilateral intrahepatic localization with recurrent cholangitis and biliary cirrhosis, a liver transplantation remains the only treatment option. However, since the extrahepatic biliary tracts, which are mainly responsible for the growth of cancer, are only partially removed in liver transplantation, a combination of liver transplantation with a Whipple operation may be considered an exceptional treatment strategy.…”

Section: Discussionmentioning

confidence: 99%

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Papillomatosis Confined to the Distal Biliary Tract ? A Rare Cause of Obstructive Jaundice: Report of a Case

et al. 2003

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Based on the findings of a patient with recurrent obstructive jaundice due to papillomatosis of the distal bile duct, we herein describe the diagnostic difficulties and therapeutic options in this very rare disease. Endoscopic retrograde cholangiopancreatography and, in particular, cholangioscopy are the imaging procedures of choice if biliary papillomatosis is suspected. Due to the tendency of such patients to demonstrate malignant transformation and develop biliary cirrhosis with septic complications, an early and radical surgical resection is recommended in rare cases of localized papillomatosis. This approach may offer the only chance of a cure although the potential risk of multifocal recurrence cannot be ruled out. When considering a radical resection, intraoperative cholangioscopy is strongly recommended to confirm any localized papillomatosis and rule out any diffuse papillomatosis of the entire biliary tract.

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Six-year recurrence free survival after intraluminal iridium-192 therapy of human bilobar biliary papillomatosis

Cited by 27 publications

References 7 publications

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

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

Mucin-producing intrahepatic biliary papillomatosis

Papillomatosis Confined to the Distal Biliary Tract ? A Rare Cause of Obstructive Jaundice: Report of a Case

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