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Intraductal Papillary Cystic Neoplasm of the Gallbladder and the Ampulla of Vater

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Abstract

Intraluminal mass-forming preinvasive neoplasms occurring within the gallbladder and the ampulla of Vater are highly analogous to pancreatic or biliary intraductal papillary and tubular neoplasms, as evidenced by their papillary and/or tubular growth, variable cell lineage, and spectrum of dysplastic change (adenoma-carcinoma sequence), often with significant overlap. A uniform terminology of intracholecystic papillary-tubular neoplasm (ICPN) and intra-ampullary papillary-tubular neoplasm (IAPN) has therefore been proposed for the systematic analysis of these neoplasms. ICPN and IAPN are biologically indolent; noninvasive examples show an excellent prognosis, whereas those with invasion exhibit a malignant but nevertheless significantly better prognosis than ordinary invasive carcinomas unaccompanied by ICPN or IAPN.

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Abbreviations

ICPN:

Intracholecystic papillary-tubular neoplasm

IAPN:

Intra-ampullary papillary-tubular neoplasm

IPMN:

Intraductal papillary mucinous neoplasm

IPNB:

Intraductal papillary neoplasm of the biliary tract

BilIN:

Biliary intraepithelial neoplasia

References

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The author has no conflicts of interest or financial ties to disclose.

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Correspondence to Nobuyuki Ohike .

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© 2017 Springer Nature Singapore Pte Ltd.

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Ohike, N., Adsay, V. (2017). Intraductal Papillary Cystic Neoplasm of the Gallbladder and the Ampulla of Vater. In: Nakanuma, Y. (eds) Pathology of the Bile Duct. Springer, Singapore. https://doi.org/10.1007/978-981-10-3500-5_16

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  • DOI: https://doi.org/10.1007/978-981-10-3500-5_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-3499-2

  • Online ISBN: 978-981-10-3500-5

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