keyword
https://read.qxmd.com/read/38448193/-design-of-an-improved-percutaneous-transhepatic-cholangio-drainage-tube-based-on-mrcp-imaging-data
#21
JOURNAL ARTICLE
X Geng, H L Li, H T Hu, C Y Guo, H K Zhang, J Li, Q J Yao, W L Xia, H Yuan
Objective: Quantified MRCP imaging data was used as a reference for design and preparation of a modified percutaneous transhepatic cholangio drainage (PTCD) tube. Methods: 3.0 T upper abdominal MR and MRCP imaging data of 2 300 patients treated from July 2015 to July 2020 at the Department of Radiology of the Affiliated Cancer Hospital of Zhengzhou University were screened and a total of 381 patients diagnosed with biliary duct structures were identified. Causative etiologies among these patients included pancreatic adenocarcinoma (pancreatic head), cholangiocarcinoma, ampullary carcinoma, as well as intrahepatic and/or extrahepatic bile duct dilation...
March 1, 2024: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://read.qxmd.com/read/38430348/post-embolization-syndrome-like-symptoms-due-to-shedding-of-necrotic-material-of-hepatocellular-carcinoma-into-the-bile-duct-following-transcatheter-arterial-chemoembolization-an-instructive-case
#22
JOURNAL ARTICLE
Ikuhiro Kobori, Rion Masaoka, Hiroki Maeda, Fuki Hayakawa, Yumi Kusano, Hitoshi Kino, Akiko Fujii, Koichi Soga, Yasumi Katayama, Masaya Tamano
Fever, abdominal pain, and liver dysfunction are almost inevitable complications of transcatheter arterial chemo embolization (TACE) for hepatocellular carcinoma, but these symptoms may also be due to bile duct obstruction caused by shedding of necrotic tumor material into the bile duct. A 68-year-old man presented with persistent fever, liver dysfunction, and abdominal pain after TACE. Computed tomography revealed stone-like hyperdensities in the bile duct. Endoscopic retrograde cholangiopancreatography revealed these structures to be necrotic material from hepatocellular carcinoma...
March 2, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38428643/pten-deficiency-induces-an-extrahepatic-cholangitis-cholangiocarcinoma-continuum-via-aurora-kinase-a-in-mice
#23
JOURNAL ARTICLE
Yan Yang, Jiale Wang, Jianhua Wan, Qianqian Cheng, Zenong Cheng, Xueli Zhou, Oliver Wang, Kelvin Shi, Lingxiang Wang, Bin Wang, Xiaohui Zhu, Jiaxiang Chen, Dongfeng Feng, Yang Liu, Yasmin Jahan-Mihan, Ashley N Haddock, Brandy H Edenfield, Guang Peng, Jessica D Hohenstein, Chantal E McCabe, Daniel R O'Brien, Chen Wang, Sumera I Ilyas, Liuyan Jiang, Michael S Torbenson, Huamin Wang, Raouf E Nakhleh, Xuemei Shi, Ying Wang, Yan Bi, Gregory J Gores, Tushar Patel, Baoan Ji
BACKGROUND & AIMS: The PTEN-AKT pathway is frequently altered in extrahepatic cholangiocarcinoma (eCCA). We aim to evaluate the role of PTEN in the pathogenesis of eCCA and find novel therapies for this disease. METHODS: The Pten gene in the biliary epithelial cells were genetically deleted using the Cre-loxp system. The pathologies were evaluated both macroscopically and histologically. The characteristics were further analyzed by immunohistochemistry (IHC), RT-PCR, cell culture, and RNAseq...
February 28, 2024: Journal of Hepatology
https://read.qxmd.com/read/38406014/mixed-plate-ductal-intrahepatic-cholangiocarcinoma-mimicking-hepatocellular-carcinoma
#24
Sania Ajmal, Srujan Edupuganti, Adiraj Singh
Cholangiocarcinoma (CCA) refers to malignancies of the bile ducts that arise in the intrahepatic, perihilar, or distal (extrahepatic) biliary tree, excluding the gallbladder and ampulla of Vater. Although rare, the majority of these cancers are locally advanced at presentation, making them extremely fatal. We present a case of a 65-year-old man who came in for abdominal pain and ascites and was found to have portal vein thrombosis. Initial imaging showed a hepatic lesion, raising suspicion of a hepatic malignancy...
January 2024: Curēus
https://read.qxmd.com/read/38404590/exploring-genetic-associations-of-crohn-s-disease-and-ulcerative-colitis-with-extraintestinal-cancers-in-european-and-east-asian-populations
#25
JOURNAL ARTICLE
Chengdong Yu, Jiawei Xu, Siyi Xu, Lei Tang, Qinyuan Han, Xiaoqiang Zeng, Yanxiao Huang, Tenghua Yu, Zhengkui Sun
BACKGROUND: Previous studies have reported associations of Crohn's disease (CD) and ulcerative colitis (UC) with the risks of extraintestinal cancers, but the causality remains unclear. METHODS: Using genetic variations robustly associated with CD and UC extracted from genome-wide association studies (GWAS) as instrumental variables. Nine types of extraintestinal cancers of European and Asian populations were selected as outcomes. We used the inverse variance weighted method as the primary approach for two-sample Mendelian randomization analysis...
2024: Frontiers in Immunology
https://read.qxmd.com/read/38398229/outcome-of-atezolizumab-plus-bevacizumab-combination-therapy-in-high-risk-patients-with-advanced-hepatocellular-carcinoma
#26
JOURNAL ARTICLE
Sang Youn Hwang, Hyun Young Woo, Jeong Heo, Hyung Jun Kim, Young Joo Park, Ki Youn Yi, Yu Rim Lee, Soo Young Park, Woo Jin Chung, Byoung Kuk Jang, Won Young Tak
Real-world data regarding treatment with atezolizumab plus bevacizumab in high-risk patients with advanced HCC are lacking. In this multicenter retrospective cohort study, a total of 215 patients with advanced HCC received atezolizumab plus bevacizumab treatment at four tertiary hospitals. High-risk patients were those with grade Vp4 portal vein thrombus, bile duct invasion, or more than 50% liver infiltration. In total, 98 (45.6%) were the high-risk population, 186 (86.5%) were considered to be Child-Pugh class A, and 128 (59...
February 19, 2024: Cancers
https://read.qxmd.com/read/38396870/current-perspectives-on-the-molecular-and-clinical-relationships-between-primary-biliary-cholangitis-and-hepatocellular-carcinoma
#27
REVIEW
Annarosa Floreani, Daniela Gabbia, Sara De Martin
Primary biliary cholangitis (PBC) is an autoimmune liver disease characterised by the immune-mediated destruction of small and medium intrahepatic bile ducts, with variable outcomes and progression. This review summarises the state of the art regarding the risk of neoplastic progression in PBC patients, with a particular focus on the molecular alterations present in PBC and in hepatocellular carcinoma (HCC), which is the most frequent liver cancer in these patients. Major risk factors are male gender, viral infections, e...
February 12, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38390438/imaged-periductal-infiltration-diagnostic-and-prognostic-role-in-intrahepatic-mass-forming-cholangiocarcinoma
#28
JOURNAL ARTICLE
Kenichiro Okumura, Kazuto Kozaka, Azusa Kitao, Norihide Yoneda, Takahiro Ogi, Hiroko Ikeda, Toshifumi Gabata, Satoshi Kobayashi
PURPOSE: This study examines periductal infiltration in intrahepatic mass-forming cholangiocarcinoma (IMCC), focusing on its importance for differentiating hepatic tumors and its influence on post-surgical survival in IMCC patients. METHODS: Eighty-three consecutive patients with IMCC (n = 43) and liver cancer whose preoperative images showed intrahepatic bile duct dilatation adjacent to the tumor for differential diagnosis from hepatocellular carcinoma (HCC) [n = 21], metastatic liver cancer (MLC) [n = 16] and combined hepatocellular-cholangiocarcinoma (cHCC-CC) [n = 3] were enrolled...
June 2024: European Journal of Radiology Open
https://read.qxmd.com/read/38389074/a-case-report-of-carcinoma-of-the-papilla-of-vater-associated-with-a-hyperplasia-dysplasia-carcinoma-sequence-by-pancreaticobiliary-maljunction
#29
JOURNAL ARTICLE
Takahiro Korai, Yasutoshi Kimura, Kazunori Watanabe, Siew-Kee Low, Masafumi Imamura, Minoru Nagayama, Kazuharu Kukita, Takeshi Murakami, Toru Kato, Yuta Kondo, Daisuke Kyuno, Taro Sugawara, Ayako Murota, Yujiro Kawakami, Yoshiharu Masaki, Hiroshi Nakase, Ichiro Takemasa
BACKGROUND: Pancreaticobiliary maljunction (PBM) is a known risk factor for biliary tract cancer. However, its association with carcinoma of the papilla of Vater (PVca) remains unknown. We report a case with PVca that was thought to be caused by the hyperplasia-dysplasia-carcinoma sequence, which is considered a mechanism underlying PBM-induced biliary tract cancer. CASE PRESENTATION: A 70-year-old woman presented with white stool and had a history of cholecystectomy for the diagnosis of a non-dilated biliary tract with PBM...
February 22, 2024: World Journal of Surgical Oncology
https://read.qxmd.com/read/38384597/a-case-of-distal-common-bile-duct-obstruction-due-to-a-neuroendocrine-tumor
#30
Ramsey Rayes, Omeed Partovi, Stephanie Strohbeen, Britta L Bureau, Tamara Giorgadze, Mohamed Mostafa, Nisar Asmi
Neuroendocrine tumors (NETs) are a rare subset of malignancies in the biliary tract that may have an aggressive and initially asymptomatic course. A 93-year-old female presented with four days of abdominal pain with associated nausea, jaundice, and brown-colored urine. A CT scan revealed a soft-tissue lesion measuring 1.9 x 1.5 x 1.9 cm within the distal-most aspect of the common bile duct and papilla with marked bile duct dilatation, pancreatic duct dilatation, and multiple hepatic lesions of varying sizes...
January 2024: Curēus
https://read.qxmd.com/read/38376319/a-case-of-esophageal-squamous-cell-carcinoma-accompanied-by-pancreatic-and-bile-duct-metastases-successful-treatment-starts-with-an-accurate-diagnosis
#31
JOURNAL ARTICLE
Yuki Ito, Yoshihiro Ikura, Hiroaki Sawai, Tatsuya Osuga
Pancreatic and bile duct metastases from esophageal cancer are extremely rare. We report a case of advanced esophageal cancer successfully treated with chemotherapy, selected on the basis of an accurate pathologic diagnosis. A 69-year-old man with chronic renal dysfunction presented with persistent abdominal pain and anorexia. Upper gastrointestinal endoscopy revealed an irregular-shaped tumor in the lower esophagus. Computed tomography and ultrasonography revealed swollen para-aortic lymph nodes, a pancreatic mass, and distal bile duct stenosis...
October 1, 2023: Journal of Cancer Research and Therapeutics
https://read.qxmd.com/read/38352103/two-ectopic-liver-lobes-discovered-incidentally-at-an-autopsy-a-case-report
#32
Satoshi Sumida, Nobuo Satake, Koichi Tsuneyama
The ectopic liver lobe is a rare anomaly and is most frequently reported as a solitary mass. Herein, we report a case of multiple (two) ectopic liver lobes detected at an autopsy. A Japanese man in his 70s died of an infectious disease associated with acquired immunodeficiency syndrome (AIDS). Autopsy revealed the incidental finding of two 1-cm masses, located anterior to the inferior vena cava. Both masses were composed of liver tissue and had internal microscopic structures resembling the porta hepatis, consisting of an outflow bile duct and blood vessels...
January 2024: Curēus
https://read.qxmd.com/read/38345293/5-hydroxymethylcytosine-5-hmc-loss-is-a-marker-of-malignancy-in-biliary-neoplasms
#33
JOURNAL ARTICLE
Miguel S Gonzalez-Mancera, Andrew Siref, Kambiz Kosari, Nicholas Nissen, Srinivas Gaddam, Andrew Hendifar, Arsen Osipov, Kevin Waters, Danielle Hutchings, Maha Guindi, Brent K Larson
OBJECTIVES: Adenocarcinomas of the biliary tract frequently present diagnostic challenges because of their histologic overlap with benign and preinvasive lesions. The molecular profiles of biliary adenocarcinomas vary by anatomical location. Variations in IDH1/2, common in intrahepatic cholangiocarcinoma, can lead to defective production of 5-hydroxymethylcytosine (5-hmC). Limited ancillary studies are available for biliary adenocarcinomas, and loss of 5-hmC staining could serve as a helpful ancillary diagnostic tool for biliary tract malignancies...
February 12, 2024: American Journal of Clinical Pathology
https://read.qxmd.com/read/38340624/synchronous-tumors-of-gastric-carcinoma-combined-gallbladder-cancer-and-pseudotumor-chronic-pancreatitis
#34
Minh Thao Nguyen, Cong Thuan Dang, Thi Huyen Thuong Nguyen, Quy Tran Ngo, Anh Vu Pham
INTRODUCTION AND IMPORTANCE: Synchronous primary cancers in the stomach and gallbladder were not previously reported in the medical literature. Pseudotumor pancreatitis was also described many years ago. It was misdiagnosed and required surgery for pancreatic head neoplasms. PRESENTATION OF CASE: A 57-year-old male patient went to our hospital for abdominal pain. He was indicated for gastroduodenal endoscopy, and the result was adenocarcinoma. Abdominal ultrasound and Ctscan detected the gallbladder fundus's localized thickening structure and the pancreatic head's hyperechoic structure...
February 8, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38334763/incidence-and-clinical-impact-of-bile-ducts-changes-after-multibipolar-radiofrequency-ablation-for-hepatocellular-carcinoma
#35
JOURNAL ARTICLE
Eloi Varin, Paul Beunon, Gisèle N'Kontchou, Arthur Petit, Lorenzo-Carlo Pescatori, Nathalie Ganne-Carrié, Jean-Charles Nault, Olivier Seror, Olivier Sutter
OBJECTIVES: This study aimed to evaluate the incidence and clinical implications of bile duct changes following multibipolar radiofrequency ablation (mbpRFA) for hepatocellular carcinoma (HCC). MATERIALS AND METHODS: Radiological, clinical, and biological data from consecutive cirrhotic patients who underwent first-line mbpRFA between 2007 and 2014 for uninodular HCC ≤ 5 cm were retrospectively collected. Follow-up imaging was reviewed to identify bile duct changes and factors associated with biliary changes were assessed using multivariable analysis...
February 9, 2024: European Radiology
https://read.qxmd.com/read/38329714/the-role-of-ceus-in-the-management-of-biloma
#36
JOURNAL ARTICLE
Valentina Marinato, Alice Phillips, Leonardo Giuliano, Tommaso Cascella, Giorgio Greco, Rodolfo Lanocita
BACKGROUND: A biloma refers to an abnormal, well-defined accumulation of bile outside the biliary tree within the abdomen, which can be either intra- or extra-hepatic in nature. It can result from traumatic or iatrogenic causes, leading to a disruption in the biliary system. Without prompt diagnosis and appropriate management, it can result in significant morbidity and mortality. While magnetic resonance cholangiopancreatography (MRCP) is the typical diagnostic method, there are instances where it may not provide conclusive results...
February 8, 2024: Journal of Ultrasound
https://read.qxmd.com/read/38328317/impact-of-open-hepatectomy-on-postoperative-bile-leakage-in-patients-with-biliary-tract-cancer
#37
JOURNAL ARTICLE
Gang Wu, Wen-Ying Li, Yu-Xing Gong, Feng Lin, Chen Sun
BACKGROUND: Bile leakage is a common and serious complication of open hepatectomy for the treatment of biliary tract cancer. AIM: To evaluate the incidence, risk factors, and management of bile leakage after open hepatectomy in patients with biliary tract cancer. METHODS: We retrospectively analyzed 120 patients who underwent open hepatectomy for biliary tract cancer from February 2018 to February 2023. Bile leak was defined as bile drainage from the surgical site or drain or the presence of a biloma on imaging...
January 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38326157/mirizzi-syndrome-problems-and-strategies
#38
REVIEW
Jun Wu, Shuang-Yong Cai, Xu-Liang Chen, Zhi-Tao Chen, Shao-Hua Shi
Mirizzi syndrome is a serious complication of gallstone disease. It is caused by the impacted stones in the gallbladder neck or cystic duct. One of the features of Mirizzi syndrome is severe inflammation or dense fibrosis at the Calot's triangle. In our clinical practice, bile duct, branches of right hepatic artery and right portal vein clinging to gallbladder infundibulum are often observed due to gallbladder infundibulum adhered to right hepatic hilum. The intraoperative damage of branches of right hepatic artery occurs more easily than that of bile duct, all of which are hidden pitfalls for surgeons...
January 30, 2024: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://read.qxmd.com/read/38322757/hemostasis-with-metallic-stent-for-multiple-metastatic-pancreatic-tumors-complicated-with-hemobilia
#39
JOURNAL ARTICLE
Hiroyuki Ito, Yuji Omura, Tomonori Makuuchi, Tsubomi Chou, Ayano Ito, Ryutaro Fujimoto, Masashi Yokota, Shingo Tsuda, Junko Nagata, Shunji Hirose, Hisamichi Yoshii, Hideki Izumi, Tomoko Sugiyama, Takuma Tajiri, Takayoshi Suzuki
INTRODUCTION: Hemobilia, which refers to bleeding from the bile duct, is rare and difficult to treat. We report a case of successful hemostasis of a pancreatic tumor complicated by hemobilia. CASE PRESENTATION: A 76-year-old man was referred to our hospital with a pancreatic head tumor. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography-FNA were performed, and the patient was diagnosed with pancreatic metastasis of renal cell carcinoma...
2024: Case Reports in Gastroenterology
https://read.qxmd.com/read/38307773/intraductal-papillary-neoplasms-of-the-bile-ducts-a-comparative-study-of-a-rare-disease-in-europe-and-nagoya-japan
#40
JOURNAL ARTICLE
Núria Lluís, Shunsuke Onoe, Mario Serradilla-Martín, Mar Achalandabaso, Takashi Mizuno, François Jehaes, Bobby V M Dasari, Sara Mambrilla-Herrero, Ernesto Sparrelid, Anita Balakrishnan, Frederik J H Hoogwater, María J Amaral, Bodil Andersson, Frederik Berrevoet, Alexandre Doussot, Víctor López-López, Olivier Detry, Carlos Domingo-Del Pozo, Nikolaos Machairas, Damján Pekli, Cándido F Alcázar-López, Horacio Asbun, Bergthor Björnsson, Thalis Christophides, Alberto Díez-Caballero, David Francart, Colin B Noel, Donzília Sousa-Silva, Enrique Toledo-Martínez, George N Tzimas, Sheraz Yaqub, Junpei Yamaguchi, Safi Dokmak, Mikel Prieto-Calvo, Melroy A D'Souza, Harry V M Spiers, Marius C van den Heuvel, Ramón Charco, Mickaël Lesurtel, Tomoki Ebata, José M Ramia
BACKGROUND: Intraductal papillary neoplasm of the bile ducts (IPNB) is a rare disease in Western countries. The aim of this study was to compare tumor characteristics, management strategies, and outcomes between Western and Eastern patients who underwent surgical resection for IPNB. METHODS: A multi-institutional retrospective series of patients with IPNB undergoing surgery between January 2010 and December 2020 was gathered under the auspices of the European-African Hepato-Pancreato-Biliary Association (E-AHPBA), and at Nagoya University Hospital, Japan...
January 19, 2024: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
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