ABSTRACT
A bile duct lesion originating from intrahepatic bile ducts is generally regarded as an incidental pathologic finding in liver specimens. However, a recent study on the molecular classification of intrahepatic cholangiocarcinoma has focused on the heterogeneity of this carcinoma and has suggested that the cells of different origins present in the biliary tree may have a major role in the mechanism of oncogenesis. In this review, benign intrahepatic bile duct lesions—regarded in the past as reactive changes or remnant developmental anomalies and now noted to have potential for developing precursor lesions of intrahepatic cholangiocarcinoma—are discussed by focusing on the histopathologic features and its implications in clinical practice.
Subject(s)
Humans , Bile Duct Neoplasms/pathology , Bile Ducts/pathology , Bile Ducts, Intrahepatic , Cholangiocarcinoma/pathology , Diagnosis, Differential , Liver/pathologyABSTRACT
No abstract available.
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Adenoma, Bile Duct/pathology , Angiomyolipoma/pathology , Bile Duct Neoplasms/pathology , Bile Ducts, Intrahepatic , Carcinoma, Hepatocellular/diagnostic imaging , Diagnosis, Differential , Gadolinium DTPA/chemistry , Liver Diseases/pathology , Liver Neoplasms/pathology , Magnetic Resonance Imaging , Pseudolymphoma/pathology , Tomography, X-Ray ComputedABSTRACT
A 64-year-old male patient with liver cirrhosis underwent a CT study for hepatocellular carcinoma surveillance, which demonstrated a 1.4-cm hypervascular subcapsular tumor in the liver. On gadoxetic acid-enhanced MRI, the tumor showed brisk arterial enhancement and persistent hyperenhancement in the portal phase, but hypointensity in the hepatobiliary phase. On diffusion-weighted MRI, the tumor showed an apparent diffusion coefficient twofold greater than that of the background liver parenchyma, which suggested that the lesion was benign. The histologic diagnosis was intrahepatic bile duct adenoma with alcoholic liver cirrhosis.
Subject(s)
Humans , Male , Middle Aged , Adenoma, Bile Duct/diagnosis , Bile Duct Neoplasms/diagnosis , Bile Ducts, Intrahepatic , Contrast Media , Diagnosis, Differential , Diffusion Magnetic Resonance Imaging/methods , Gadolinium DTPA , Liver Cirrhosis/complicationsABSTRACT
El hamartoma peribiliar (HPB) o adenoma de conductos biliares corresponde a un tumor hepático benigno, que representa tan solo el 1,3 por ciento de todos los tumores primarios del hígado. Macroscópicamente corresponde a una lesión redondeada bien delimitada, subcapsular, siendo habitualmente diagnosticado como un hallazgo intra-operatorio o de autopsia. Se presentan dos pacientes con diagnóstico incidental de HPB realizado en la Unidad de Anatomía Patológica del Hospital Hernán Henríquez de Temuco.
Peribiliary gland hamartoma (PGH) or bile duct adenoma corresponds to a benign liver tumor, which represents only 1.3 percent of all primary liver tumors. Corresponds to a macroscopically well-defined round lesion, subcapsular, and is usually diagnosed as an intra-operative findings or autopsy. We report two patients with incidental diagnosis of PGH conducted in the Pathology Unit of the Hospital Hernán Henríquez in Temuco.
Subject(s)
Female , Aged , Adenoma, Bile Duct/pathology , Hamartoma/pathology , Bile Duct Neoplasms/pathology , Liver/pathologyABSTRACT
Choledochal cyst is an uncommon premalignant anomaly. The morphology and pathogenesis of the premalignant lesion of cholangiocarcinoma arising from the choledochal cyst has not been well described. Herein, we report a rare case of bile duct adenoma arising from choledochal cyst with anomalous union of pancreaticobiliary duct (AUPBD). 50-year-old woman was admitted to our hospital with the complaint of epigastric pain. She had received common bile duct (CBD) exploration and choledocholithotomy and cholecystectomy 3 months earlier under the diagnosis of multiple CBD stones. Intraoperalive cholangiogram was not remarkable except CBD dilatation at that time. Endoscopic retrograde cholangiopancreatography revealed choledochal cyst with AUPBD and round filling defect which disappeared easily on the balloon cholaniogram. On magnetic resonance cholangiopancreatography, the filling defect was confirmed as 2 cm polypoid mass attached to the distal bile duct wall. At laparotomy, a soft whitish mass was palpable on the lower CBD. On histological examination, adenoma with focal carcinoma change arising from choledochal cyst was diagnosed.