Journal of Hepato-Biliary-Pancreatic Surgery

, 16:869

Intraductal oncocytic papillary neoplasm of the bile duct: the first case of peribiliary gland origin

  • Yoshitsugu Nakanishi
  • Yoh Zen
  • Satoshi Hirano
  • Eiichi Tanaka
  • Osamu Takahashi
  • Atsuya Yonemori
  • Hiromitsu Doumen
  • Hiroshi Kawakami
  • Tomoo Itoh
  • Yasuni Nakanuma
  • Satoshi Kondo
Case report of interest

DOI: 10.1007/s00534-009-0070-1

Cite this article as:
Nakanishi, Y., Zen, Y., Hirano, S. et al. J Hepatobiliary Pancreat Surg (2009) 16: 869. doi:10.1007/s00534-009-0070-1

Abstract

We report herein the first case of intraductal oncocytic papillary neoplasm of the bile duct arising from a peribiliary gland of the left hepatic duct. The patient was a 63-year-old Japanese man. Radiological and cholangioscopic examinations revealed intraductal tumor of the left hepatic duct. After pathological diagnosis of adenocarcinoma by cholangioscopic biopsy, a surgical hepatobiliary resection was performed. Pathological examination revealed papillary tumor in the left hepatic duct. Histologically, the tumor was identified as papillary neoplasm comprising oncocytic cells and delicate fibrovascular cores. Interestingly, this tumor originated from the cystic space in the bile duct wall. This cystic space was histologically identified as a cystically dilated peribiliary gland. Carcinoma in situ was observed in this cystic peribiliary gland at the bottom of the tumor, but not on any areas of biliary epithelium. This case suggests that intraductal papillary neoplasm can arise from both biliary epithelium and peribiliary glands.

Keywords

Intraductal papillary neoplasmExtrahepatic bile duct carcinomaOncocyticPeribiliary gland

Copyright information

© Springer 2009

Authors and Affiliations

  • Yoshitsugu Nakanishi
    • 1
    • 2
    • 3
  • Yoh Zen
    • 2
  • Satoshi Hirano
    • 1
  • Eiichi Tanaka
    • 1
  • Osamu Takahashi
    • 1
  • Atsuya Yonemori
    • 1
  • Hiromitsu Doumen
    • 1
  • Hiroshi Kawakami
    • 4
  • Tomoo Itoh
    • 3
  • Yasuni Nakanuma
    • 2
  • Satoshi Kondo
    • 1
  1. 1.Division of Cancer Medicine, Department of Surgical OncologyHokkaido University Graduate School of MedicineSapporoJapan
  2. 2.Department of Human PathologyKanazawa University Graduate School of MedicineKanazawaJapan
  3. 3.Department of Surgical PathologyHokkaido University HospitalSapporoJapan
  4. 4.Department of GastroenterologyHokkaido University Graduate School of MedicineSapporoJapan