Open AccessIntraductal papillary neoplasm of the bile duct: a recurring disease
Author(s) -
Eva Marín-Serrano,
Albert Julià Cano
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.2019.6206/2019
Subject(s) - medicine , asymptomatic , bile duct , disease , dysplasia , intrahepatic bile ducts , neoplasm , cholestasis , gastroenterology , incidence (geometry) , left hepatic duct , hepatectomy , radiology , general surgery , surgery , pathology , resection , physics , optics
Intraductal papillary neoplasm of the bile duct (IPNB) is a premalignant disease characterized by a low incidence, a high risk of malignant transformation, and an uncertain prognosis. We hereby present the case of an 8-mm IPNB in the left liver lobe detected by endosonography in a 76-year-old woman followed for a dissociated asymptomatic cholestasis who was treated with a left hepatectomy. The resected IPNB had low-grade dysplasia and no nodal involvement in the surgical piece; however, signs of recurrence of the disease were observed in the right liver lobe a year and a half later. Therefore, given that it can be multifocal and recurrent, IPNB is a disease that requires close follow-up.