Tubulopapillary adenoma of the gallbladder accompanied by bile duct tumor thrombus

Yamamoto, Kentaro; Yamamoto, Fujio; Maeda, Atsuhiro; Igimi, Hirotsune; Yamamoto, Mami; Yamaguchi, Ryosuke; Yamashita, Yuichi

doi:10.3748/wjg.v20.i26.8736

Cited by 8 publications

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“…Adenoma which was located at the neck of gallbladder can cause gallbladder obstruction and cholecystitis. The diameter of the most gallbladder adenoma was <15.0 mm or 20.0 mm [15][16][17], it was originated in body or bottom of the gallbladder with soft texture. It can be single and multiple.…”

Section: Discussionmentioning

confidence: 97%

Imaging diagnosis of gallbladder adenoma

Jian¹,

Zhu²,

Lv³

et al. 2018

biomedicalresearch

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Recent studies have shown that the gallbladder adenomas belong to precancerous lesions, with possible malignant transformation, and imaging examination is the first choice for the diagnosis. The study was involved in the diagnosis of gallbladder adenoma commonalities by ultrasound, CT and MRI in characterization of do retrospective analysis in order to improve the accuracy. 32 cases of hospitalized patients with the diagnosis of gallbladder adenoma were collected. The 32 patients were retrospectively analyzed by ultrasound, CT and MRI images to find its generality characteristic imaging. B ultrasonic echo showed that the diameter of the malignant papillary adenoma increased in 18 cases of cystic papillary adenoma; CT showed that adenoma internal density was uniform and CT values continue to rise; MRI in common displayed for contour shadow equally. The benign lesions were wide and the malignant lesions were narrow. Portal phase lesions around was continuous reinforced obviously and the central displayed slightly lower density area. In the 14 cases of gallbladder tubular papillary adenoma, ultrasound showed that medium echoes, and commonness CT in enhanced arterial phase, portal phase and delay lesions was progressively light-moderate strengthened. MRI was performed for single nodule "cauliflower" shaped surface and signal shadow, and high signal stove, borders, "cauliflower" shaped surface was tested on the malignant nodules. Imaging diagnostic methods can improve the detection rate of gallbladder adenoma and reduce missed diagnosis.

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Section: Discussionmentioning

confidence: 97%

Imaging diagnosis of gallbladder adenoma

Jian¹,

Zhu²,

Lv³

et al. 2018

biomedicalresearch

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show abstract

“…Regardless, excision is needed to resolve the patient's symptoms and to rule out other benign or malignant cystic lesions including biliary cystadenoma, cystadenocarcinoma, cystic gastric heterotopias, cystic duct cyst, and cystic lymphangioma. 9 Histologic examination and accurate pathologic diagnosis are essential to avoid unnecessary additional treatment such as chemotherapy or radiotherapy for malignant neoplasms. Radiologically, however, these cysts of the gallbladder are generally suggestive of benign cystic lesions.…”

Section: Discussionmentioning

confidence: 99%

Foregut-Origin Ciliated Cyst of the Gallbladder

Akay¹

2019

Turkiye Klinikleri J Case Rep

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oregut-origin ciliated cysts origin may occur in relation to the tracheobronchial tree to upper digestive tract. 1 Ciliated foregut cysts are rare anomalies due to aberrant embryological development. It is thought to arise from a remnant of the embryologic foregut. The solitary cysts are characterised by ciliated pseudostratified columnar epithelium. 2,3 Foregut cysts below the diaphragm usually occur in the liver. 4 Herein, we present a case of foregut-origin ciliated cyst of the gallbladder. CASE REPORT A 69-year-old male patient was admitted to our hospital's surgical polyclinic with symptoms of abdominal pain, which he had had for the last 3 years. Tenderness of the right upper quadrant and Murphy's sign were present but rebound tenderness was not present in the physical examination. The results of laboratory examinations indicated normal alanine transaminase (ALT) and aspartate aminotransferase (AST) enzymes. Serologic tumor markers (AFP, CEA and CA19-9) and hepatitis B and C markers were negative. He was sent to the radiology clinic for ultrasonography (USG) of the abdomen, which revealed gallstones and a benign-appearing cystic lesion on the fundus of the gallbladder (Figure 1). A cystic structure adjacent to the gallbladder wall was found on abdominal computed tomography (CT) (Figure 2). The operation has been planned for the patient and admission to the service has been pro

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“…Even though ciliated foregut cyst of the gallbladder is benign, excision is needed to resolve patient's symptom and to rule out other benign or malignant cystic lesions including biliary cystadenoma, cystadenocarcinoma, cystic gastric heterotopias, cystic duct cyst and cystic lymphangioma. 10 11 12 13 14 Histologic examination and accurate pathologic diagnosis are essential to avoid unnecessary additional treatment, such as chemotherapy or radiotherapy for malignant neoplasm. However, the ciliated foregut cyst of the gallbladder mostly suggest benign cystic lesion on radiology.…”

Section: Discussionmentioning

confidence: 99%

Ciliated foregut cyst of the gallbladder: a case report and literature review

Hwang

Cho

2016

Korean J Hepatobiliary Pancreat Surg

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Ciliated foregut cyst of gallbladder is a very rare benign cystic lesion. A 39-year-old woman was referred to our hospital after abdominal ultrasonography revealed a cystic lesion of gallbladder. On abdominal ultrasonography and computed tomography, a unilocular cystic lesion was found at right upper quadrant with attachment to the gallbladder neck. The gallbladder with cystic lesion was resected through laparoscopic cholecystectomy. The cystic lesion revealed a unilocular cyst with ciliated cuboidal or columnar epithelium and abundant goblet cells. Pathologic examination is essential to distinguish from other cystic lesions of the gallbladder and avoid unnecessary additional treatment. In the current case report, we presented the clinico-pathologic findings of the ciliated foregut cyst of the gallbladder and review of literature.

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Tubulopapillary adenoma of the gallbladder accompanied by bile duct tumor thrombus

Cited by 8 publications

References 0 publications

Imaging diagnosis of gallbladder adenoma

Imaging diagnosis of gallbladder adenoma

Foregut-Origin Ciliated Cyst of the Gallbladder

Ciliated foregut cyst of the gallbladder: a case report and literature review

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