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Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report

BACKGROUND: The intracystic papillary neoplasm (ICPN) is a newly established disease concept. It has been regarded as a preinvasive neoplastic lesion, similar to intraductal papillary mucinous neoplasm of the pancreas. Limited information is available on the clinical and imaging features of ICPN. CA...

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Autores principales: Aida, Takashi, Tsunematsu, Masashi, Furukawa, Kenei, Haruki, Koichiro, Shirai, Yoshihiro, Onda, Shinji, Toyama, Yoichi, Gomisawa, Kazutaka, Takahashi, Hiroyuki, Ikegami, Toru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542520/
https://www.ncbi.nlm.nih.gov/pubmed/34693483
http://dx.doi.org/10.1186/s40792-021-01312-6
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author Aida, Takashi
Tsunematsu, Masashi
Furukawa, Kenei
Haruki, Koichiro
Shirai, Yoshihiro
Onda, Shinji
Toyama, Yoichi
Gomisawa, Kazutaka
Takahashi, Hiroyuki
Ikegami, Toru
author_facet Aida, Takashi
Tsunematsu, Masashi
Furukawa, Kenei
Haruki, Koichiro
Shirai, Yoshihiro
Onda, Shinji
Toyama, Yoichi
Gomisawa, Kazutaka
Takahashi, Hiroyuki
Ikegami, Toru
author_sort Aida, Takashi
collection PubMed
description BACKGROUND: The intracystic papillary neoplasm (ICPN) is a newly established disease concept. It has been regarded as a preinvasive neoplastic lesion, similar to intraductal papillary mucinous neoplasm of the pancreas. Limited information is available on the clinical and imaging features of ICPN. CASE PRESENTATION: A 65-year-old woman was referred to our hospital for assessment of a gallbladder tumor. Contrast-enhanced computed tomography showed a papillary tumor in the fundus of the gallbladder with irregular thickening of the gallbladder wall that spread into the cystic duct. The boundary between the tumor and liver was unclear. The patient was diagnosed with gallbladder cancer with liver invasion. We performed extended cholecystectomy with liver bed resection after confirming the absence of cancer cells in the resection margin of the cystic duct. After pathological examination, the tumor was diagnosed as an ICPN with xanthogranulomatous cholecystitis. The patient was discharged on postoperative day 8 with no complications. CONCLUSIONS: We have described a rare case of ICPN concomitant with xanthogranulomatous cholecystitis. Clinicians should include ICPN as a differential diagnosis in patients with a papillary or polypoid tumor in the gallbladder.
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spelling pubmed-85425202021-11-10 Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report Aida, Takashi Tsunematsu, Masashi Furukawa, Kenei Haruki, Koichiro Shirai, Yoshihiro Onda, Shinji Toyama, Yoichi Gomisawa, Kazutaka Takahashi, Hiroyuki Ikegami, Toru Surg Case Rep Case Report BACKGROUND: The intracystic papillary neoplasm (ICPN) is a newly established disease concept. It has been regarded as a preinvasive neoplastic lesion, similar to intraductal papillary mucinous neoplasm of the pancreas. Limited information is available on the clinical and imaging features of ICPN. CASE PRESENTATION: A 65-year-old woman was referred to our hospital for assessment of a gallbladder tumor. Contrast-enhanced computed tomography showed a papillary tumor in the fundus of the gallbladder with irregular thickening of the gallbladder wall that spread into the cystic duct. The boundary between the tumor and liver was unclear. The patient was diagnosed with gallbladder cancer with liver invasion. We performed extended cholecystectomy with liver bed resection after confirming the absence of cancer cells in the resection margin of the cystic duct. After pathological examination, the tumor was diagnosed as an ICPN with xanthogranulomatous cholecystitis. The patient was discharged on postoperative day 8 with no complications. CONCLUSIONS: We have described a rare case of ICPN concomitant with xanthogranulomatous cholecystitis. Clinicians should include ICPN as a differential diagnosis in patients with a papillary or polypoid tumor in the gallbladder. Springer Berlin Heidelberg 2021-10-24 /pmc/articles/PMC8542520/ /pubmed/34693483 http://dx.doi.org/10.1186/s40792-021-01312-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Aida, Takashi
Tsunematsu, Masashi
Furukawa, Kenei
Haruki, Koichiro
Shirai, Yoshihiro
Onda, Shinji
Toyama, Yoichi
Gomisawa, Kazutaka
Takahashi, Hiroyuki
Ikegami, Toru
Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
title Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
title_full Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
title_fullStr Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
title_full_unstemmed Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
title_short Intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
title_sort intracystic papillary neoplasm of the gallbladder concomitant with xanthogranulomatous cholecystitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542520/
https://www.ncbi.nlm.nih.gov/pubmed/34693483
http://dx.doi.org/10.1186/s40792-021-01312-6
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