Open AccessIntraductal papillary mucinous neoplasm of the biliary tract: a lesion of the bile duct lumen
Author(s) -
Eugenia Sánchez Rodríguez,
A. Caminoa Lizarralde,
José Ramón Foruny,
Enrique Vazquez-Sequeiros
Publication year - 2019
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2019.6186/2019
Subject(s) - medicine , intraductal papillary mucinous neoplasm , bile duct , lumen (anatomy) , pancreas , radiology , endoscopic ultrasound , jaundice , neoplasm , biliary tract , lesion , fine needle aspiration , pancreatic duct , general surgery , pathology , biopsy
Intraductal papillary neoplasm of the bile duct (IPNB) is a rare entity characterized by papillary growth within the bile duct lumen1, currently regarded as a biliary counterpart of intraductal papillary mucinous neoplasm of the pancreas. The most common clinical findings are abdominal pain, jaundice or cholangitis, although some patients are asyntomatic. The diagnosis requires careful assessment of imaging findings and cito-histological evaluation, with endoscopic ultrasound guided fine needle aspiration (EUS-FNA) playing a very important role. IPNB is a premalignant lesion which can evolve into invasive cholangiocarcinom. A radical treatment strategy should be planned accordingly.