无增生的胆囊内乳头状瘤

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2024-11-01 Epub Date: 2024-05-28 DOI:10.1177/00031348241257466

Joseph S Lim, Alejandra Dominguez, Nathaniel Kidd, Kumaran Mudaliar, Joseph F Buell, Dhiresh Rohan Jeyarajah, Houssam Osman

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引用次数: 0

摘要

胆囊内乳头状瘤（ICPN）是一种罕见的肿瘤，被描述为向胆囊腔内突出的粘膜外生性肿瘤病变。关于病变的大小，未达到 1 厘米任意分界线的病变被称为 "初发 "ICPN。由于ICPN研究试图遵循传统的1厘米分界线，因此常常将这些病变排除在外，因此人们对这些 "萌芽期 "ICPN了解不多。我们报告了一例接受胆囊切除术的最年轻的非黏液性胃幽门型 ICPN 初发病例。对 ICPN 进行阴性切缘切除似乎是足够的治疗方法，切除术后的影像学监测可能会有价值，但还需要进一步研究。

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Incipient Intracholecystic Papillary Neoplasm of the Gallbladder Without Dysplasia.

Intracholecystic papillary neoplasm (ICPN) of the gallbladder is a rare tumor described as a mucosal exophytic neoplastic lesion that projects into the gallbladder lumen. In regards to the size, lesions that did not make the arbitrary 1cm cutoff are described as "incipient" ICPN. Not much is known about these incipient ICPNs, as they are often excluded in ICPN studies, given the attempted adherence to the traditional 1cm cutoff. We present the youngest reported case of incipient, non-mucinous gastric-pylorus type ICPN who underwent cholecystectomy. Resection with negative margin for ICPN appears to be sufficient treatment and post resection imaging surveillance could be of value but further studies are required.

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.