ASSOCIATION BETWEEN ANOMALOUS PANCREATICOBILIARY DUCTAL UNION AND ADENOMYOMATOSIS OF THE GALLBLADDER

Citation
S. Tanno et al., ASSOCIATION BETWEEN ANOMALOUS PANCREATICOBILIARY DUCTAL UNION AND ADENOMYOMATOSIS OF THE GALLBLADDER, Journal of gastroenterology and hepatology, 13(2), 1998, pp. 175-180
Citations number
28
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenterology & Hepatology
ISSN journal
0815-9319
Volume
13
Issue
2
Year of publication
1998
Pages
175 - 180
Database
ISI
SICI code
0815-9319(1998)13:2<175:ABAPDU>2.0.ZU;2-Q
Abstract
A frequent association of biliary tract carcinoma and anomalous pancre aticobiliary ductal union (APBD) is well recognized, especially gall-b ladder carcinoma in undilated type APBD. However, little is known abou t the presence and incidence of adenomyomatosis (AMT) of the gall-blad der, a presumed premalignant lesion, in patients with APBD. This retro spective study was conducted to elucidate the clinical features and in cidence of AMT in APBD patients with relation to undilated type and di lated type APBD. We reviewed the clinicopathological records of 30 pat ients with APBD (28 women and two men) encountered during the past 10 years. Among them, 22 patients underwent cholecystectomy and the resec ted specimens were subjected to histopathological examinations. Eleven cases of APBD patients were undilated type and 11 cases were dilated type. Adenomyomatosis was found in six (55%) of 11 undilated type and one (9%) of 11 dilated type, and fundal type was predominantly observe d in six (86%) of seven AMT. An overall incidence of AMT in APBD patie nts was 32%. An undilated type of APBD is frequently associated with A MT and we believe, therefore, that clinicians should be aware of a pos sible coexistence of APBD and AMT.