Korean Journal of Gastrointestinal Endoscopy 1998;18(1): 111-115.
증례 : 담도 췌장 ; 담도의 다발성 유두종 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Biliary Papillomatosis which Underwent Curative Resection )
김해경, 신은석, 최재원, 이재균, 윤광희, 송병철, 김연석, 유병무, 명승재, 서동완, 공경엽, 김명환, 민영일 (Hae Kyung Kim, Eun Sug Shin, Jae Won Choe, Jae Kyoon Lee, Kwang Hee Youn, Byeong Cheol Song, Yeon Suk Kim, Byeong Moo Yoo, Sung Jae Myung, Dong Wan Seo, Kyung Yub Gong, Myung Hwan Kim and Young Il Min)
Abstract
Biliary Papillomatosis is an extremely rare pathologic entity. Only about 40 cases of intrahepatic or diffuse intra- and extrahepatic papillomatosis have been described since the first report in 1959 by Caroli. Although this is a histologically benign lesion, its course is unfavaurable because of its tendency to extend to the entire biliary tract, high recurrence rate following local excision and the probability of progression to malignancy. We described herein a case of biliary papillomatosis associated with diffuse bile duct dilatation. The patient, a 59-year-old male, was admitted to our hospital because of right upper abdominal pain and weight loss. Cholangiogram revealed multiple round filling defects in common hepatic duct with intrahepatic bile duct dilatation. The patient underwent Whipple's operation with right lobectomy. Grossly, multiple small pin-head sized polypoid masses were seen in common bile duct, common hepatic duct and right intrahepatic duct. Microscapically, papillary epithelial hyperplasia with moderate cellular atypia was seen and there was no evidence of stromal invasion. He is healthy with a follow-up for 7 months. (Korean J Gastrointest Endosc 18: 111-114, 1998)
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