دورية أكاديمية
أعرض في EDS

High-grade dysplasia of the cystic duct margin: how should this be managed?

التفاصيل البيبلوغرافية
العنوان: High-grade dysplasia of the cystic duct margin: how should this be managed?
المؤلفون: Andersen LM; General Surgery, Mater Adult Hospital, South Brisbane, Queensland, Australia lalita.andersen@gmail.com.; General Surgery, GCUH, Southport, Queensland, Australia., Goh IY; Surgery, Hervey Bay Hospital, Pialba, Queensland, Australia., Siriwardhane M; General Surgery, Mater Adult Hospital, South Brisbane, Queensland, Australia.
المصدر: BMJ case reports [BMJ Case Rep] 2023 Dec 11; Vol. 16 (12). Date of Electronic Publication: 2023 Dec 11.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group
مواضيع طبية MeSH: Bile Duct Neoplasms*/diagnostic imaging , Bile Duct Neoplasms*/surgery , Bile Duct Neoplasms*/pathology , Cholangiocarcinoma*/pathology , Cholecystectomy, Laparoscopic*, Female ; Humans ; Middle Aged ; Bile Ducts, Intrahepatic/pathology ; Cystic Duct/diagnostic imaging ; Cystic Duct/surgery ; Cystic Duct/pathology ; Hyperplasia/pathology ; Aged
مستخلص: High-grade dysplasia (HGD) in the cystic duct is a rare epithelial lesion that may lead to biliary tract malignancy. Due to its association with aggressive multifocal cholangiocarcinoma, it is important to investigate for concurrent malignancy, remove all areas of HGD and monitor for recurrence or metastasis.We present a case of a woman in her 60s with cholecystitis who underwent a laparoscopic cholecystectomy. On histopathology, the patient was found to have incidental HGD involving the cystic duct margin. After ensuring the absence of concurrent malignancy on cross-sectional imaging, she underwent further resection until the margins were clear of dysplasia. In the absence of clear follow-up guidelines, the patient was closely monitored with outpatient scans for up to 5 years.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: Biliary intervention; General surgery; Malignant and Benign haematology; Pancreas and biliary tract; Surgical oncology
تواريخ الأحداث: Date Created: 20231211 Date Completed: 20240105 Latest Revision: 20240521
رمز التحديث: 20240521
مُعرف محوري في PubMed: PMC10729155
DOI: 10.1136/bcr-2023-255492
PMID: 38081746
قاعدة البيانات: MEDLINE
الوصف
تدمد:1757-790X
DOI:10.1136/bcr-2023-255492