Intracholecystic papillary-tubular neoplasm of the gallbladder presenting with jaundice

Intern Med. 2014;53(20):2313-7. doi: 10.2169/internalmedicine.53.2778. Epub 2014 Oct 15.

Abstract

We herein report a case of intracholecystic papillary-tubular neoplasm (ICPN) of the gallbladder in which jaundice developed. A 58-year-old woman with jaundice was referred to our hospital. Computed tomography revealed a papillary tumor in the body of the gallbladder protruding into the bile duct. A transpapillary biopsy of the bile duct verified adenocarcinoma, and pancreatoduodenectomy with extended cholecystectomy was performed. The tumor spread macroscopically from the gallbladder body to the cystic duct, thus forming a polypoid mass protruding into the bile duct. This is a rare case of invasive carcinoma from ICPN leading to mechanical obstruction of the bile duct.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Papillary / diagnosis*
  • Adenocarcinoma, Papillary / pathology
  • Adenocarcinoma, Papillary / surgery
  • Bile Ducts / pathology
  • Biopsy
  • Cholecystectomy
  • Cholestasis / etiology*
  • Female
  • Gallbladder Neoplasms / diagnosis*
  • Gallbladder Neoplasms / pathology
  • Gallbladder Neoplasms / surgery
  • Humans
  • Jaundice / etiology*
  • Middle Aged
  • Neoplasm Invasiveness
  • Pancreaticoduodenectomy
  • Tomography, X-Ray Computed