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A Comparison of Hepatic Mucinous Cystic Neoplasms With Biliary Intraductal Papillary Neoplasms  期刊论文  

  • 编号:
    78d4cfe4-fab0-4959-a67b-4a5210a90c4b
  • 作者:
    Li, Tao[3];Ji, Yuan[2];Zhi, XuTing[3];Wang, Lu[1];Yang, XinRong(杨欣荣)[1]Shi, GuoMing[1];Zhang, Wei[1];Tang, ZhaoYou(汤钊猷)*[1]
  • 语种:
    English
  • 期刊:
    CLINICAL GASTROENTEROLOGY AND HEPATOLOGY ISSN:1542-3565 2009 年 7 卷 5 期 (586 - 593) ; MAY
  • 收录:
  • 摘要:

    Background & Aims:: There is controversy regarding the term biliary intraductal papillary neoplasms (IPN-B) and their pathology, which frequently are confused with hepatic mucinous cystic neoplasms (MCN). We aimed to summarize the clinicopathologic features of IPN-B and differentiate them from MCN. Methods: From January 1998 to December 2007, there were 19 patients with intrahepatic IPN-B and 13 patients with MCN who underwent surgical treatment at Zhongshan Hospital. Multiple demographic and clinicopathologic parameters were reviewed retrospectively and compared between the groups. Results: The mean ages of patients with IPN-B and MCN were 59.5 +/- 11.1 and 44.4 +/- 9.7 years, respectively (P = .0004); the male:female ratios also differed (11:8 vs 2:11; P = .028). Tumors were significantly smaller (6.0 vs 11.2 cm; P = .006) in patients with IPN-B than in those with MCN. More patients with IPN-B also had hepatolithiasis (47.4% vs 0%, P = .004); cholangiectasis and communication between the cyst and main bile duct were more frequent in patients with IPN-B than in those with MCN (P < .001). The IPN-B consisted of 4 subtypes-the gastric subtype was the least invasive. Malignant lesions were more common in patients with IPN-B than in those with MCN (78.9% vs 38.5%; P = .03). The overall 5-year survival rates of patients with IPN-B and MCN were 82% and 100%, respectively. Conclusions: Intrahepatic IPN-B represents a distinct clinicopathologic entity that differs clinically, histologically, and radiologically from MCN. Curative resection has a favorable prognosis for patients with IPN-B, but further studies of its subtype are required.

  • 推荐引用方式
    GB/T 7714:
    Li Tao,Ji Yuan,Zhi Xu-Ting, et al. A Comparison of Hepatic Mucinous Cystic Neoplasms With Biliary Intraductal Papillary Neoplasms [J].CLINICAL GASTROENTEROLOGY AND HEPATOLOGY,2009,7(5):586-593.
  • APA:
    Li Tao,Ji Yuan,Zhi Xu-Ting,Wang Lu,&Tang Zhao-You.(2009).A Comparison of Hepatic Mucinous Cystic Neoplasms With Biliary Intraductal Papillary Neoplasms .CLINICAL GASTROENTEROLOGY AND HEPATOLOGY,7(5):586-593.
  • MLA:
    Li Tao, et al. "A Comparison of Hepatic Mucinous Cystic Neoplasms With Biliary Intraductal Papillary Neoplasms" .CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 7,5(2009):586-593.
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