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Intracholecystic papillary-tubular neoplasm of the gallbladder originating in the cystic duct with extensive intraepithelial progress in the common bile duct

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Abstract

A 59-year-old man with anorexia who had a history of cholecystectomy was referred to our hospital. Imaging examinations revealed a contrast-enhanced tumor in the residual cystic duct and a part of the common bile duct. Endoscopic retrograde cholangiopancreatography and peroral-cholangioscopy showed a papillary tumor with movement and a change in the shape. Under a diagnosis of primary cystic duct cancer, subtotal stomach-preserving pancreaticoduodenectomy was performed. The microscopic examination of a resected specimen revealed intracholecystic papillary-tubular neoplasm located in the residual cystic duct, forming a polypoid protrusion to the common bile duct and extensive intraepithelial progress in the common bile duct.

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Authors and Affiliations

  1. Department of Gastroenterology, Sendai City Medical Center, 5-22-1, Tsurugaya, Miyagino-ku, Sendai, Miyagi, Japan

    Yuki Fujii, Yutaka Noda, Shinsuke Koshita, Yoshihide Kanno, Takahisa Ogawa, Hiroaki Kusunose, Kaori Masu, Toshitaka Sakai, Keisuke Yonamine, Yujiro Kawakami, Toji Murabayashi, Fumisato Kozakai & Kei Ito

  2. Department of Pathology, Sendai City Medical Center, Sendai, Japan

    Yutaka Noda & Takashi Sawai

  3. Department of Histopathology, Tohoku University Graduate School of Medicine, Sendai, Japan

    Toru Furukawa

Authors
  1. Yuki Fujii
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  2. Yutaka Noda
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  3. Shinsuke Koshita
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  4. Yoshihide Kanno
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  5. Takahisa Ogawa
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  6. Hiroaki Kusunose
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  7. Kaori Masu
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  8. Toshitaka Sakai
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  9. Keisuke Yonamine
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  10. Yujiro Kawakami
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  11. Toji Murabayashi
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  12. Fumisato Kozakai
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  13. Takashi Sawai
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  14. Toru Furukawa
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  15. Kei Ito
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Corresponding author

Correspondence to Yuki Fujii.

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The authors declare that they have no conflict of interest.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Informed consent was obtained from all patients for being included in the study

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Fujii, Y., Noda, Y., Koshita, S. et al. Intracholecystic papillary-tubular neoplasm of the gallbladder originating in the cystic duct with extensive intraepithelial progress in the common bile duct. Clin J Gastroenterol 12, 197–204 (2019). https://doi.org/10.1007/s12328-018-0927-4

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  • DOI: https://doi.org/10.1007/s12328-018-0927-4

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