Mucinous cystic neoplasms of the liver with biliary prolapse
Objectives To describe the prevalence, clinical and radiological findings of biliary prolapse in pathologically proven mucinous cystic neoplasm of the liver (MCN-L). Methods Thirty-four patients, all female with median age 50 years (range, 14–82), with histologically confirmed MCN-L were enrolled. M...
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| Veröffentlicht in: | Japanese journal of radiology 2023-04, Vol.41 (4), p.409-416 |
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| creator | Kozaka, Kazuto Takahashi, Hiroaki Inoue, Akitoshi Graham, Rondell P. D. Boyum, James H. Heiken, Jay P. Takahashi, Naoki |
| description | Objectives
To describe the prevalence, clinical and radiological findings of biliary prolapse in pathologically proven mucinous cystic neoplasm of the liver (MCN-L).
Methods
Thirty-four patients, all female with median age 50 years (range, 14–82), with histologically confirmed MCN-L were enrolled. Median tumor size was 9 cm (range, 2–21 cm). Fifty-seven examinations (17 ultrasound, 25 CT, and 15 MR) among 34 MCN-Ls were reviewed. Two radiologists retrospectively assessed images for tumor location, size and other morphological features of the tumor, presence of biliary prolapse and upstream bile duct dilatation. Ultrasound, CT, and MR were assessed separately. Clinical features were evaluated. Clinical and radiological characteristics of MCN-L with and without biliary prolapse were compared.
Results
15% (5/34) of MCN-Ls showed biliary prolapse confirmed at pathology. None of MCN-Ls were associated with invasive carcinoma. Patients with biliary prolapse were significantly younger than those without (median 27 years [22–56] vs. median 51 years [14–82],
p
= 0.03). MCN-Ls with biliary prolapse were significantly smaller than those without (median 6.4 cm [2.2–7.5] vs. median 9.6 cm [3.1–21],
p
= 0.01). The upstream bile duct was dilated more frequently in MCN-Ls with biliary prolapse (100% vs. 38%,
p
= 0.02). Jaundice was significantly more common in MCN-Ls with biliary prolapse (80 vs 3%,
p
= 0.0005). Other clinical or radiological features were not significantly different between two groups.
Conclusions
Biliary prolapse was found in 15% of MCN-Ls. MCN-Ls with biliary prolapse were significantly smaller and were more commonly associated with upstream bile duct dilation and jaundice than those without biliary prolapse. |
| doi_str_mv | 10.1007/s11604-022-01361-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10066120</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2738192476</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-7f07e4a09204054f1500249ce8cf36141394ec68bdf77e36fea8df170cd702273</originalsourceid><addsrcrecordid>eNp9Uc9LHDEUDmJRq_4DHspAL16mfW-STTIgSFmsFiy9KHgL2UziRmYn02TGsv99s511bXvwlMD73vfjfYScIXxCAPE5IXJgJVRVCUg5lnSPHKHkokSQD_u7v8BD8j6lJwDOKGMH5JByBggcj8jF99H4LoypMOs0eFN0NvStTqtUBFcMS1u0_tnG4pcflsXCt17HddHH0Oo-2RPyzuk22dPte0zuv17dzW_K2x_X3-ZfbkvD6noohQNhmYa6AgYz5nAGULHaWGlcts2Q1swaLheNE8JS7qyWjUMBphE5nKDH5HLi7cfFyjbGdkPUreqjX2U7Kmiv_p10fqkew7PKZ-IcK8gM51uGGH6ONg1q5ZOxbatz3jGpLCKxrpjgGfrxP-hTGGOX86lK1kCpnMkNYTWhTAwpRet2bhA2skJN7agcQP1pR9G89OHvHLuVlzoygE6AlEfdo42v2m_Q_gZAaJnv</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2890338580</pqid></control><display><type>article</type><title>Mucinous cystic neoplasms of the liver with biliary prolapse</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kozaka, Kazuto ; Takahashi, Hiroaki ; Inoue, Akitoshi ; Graham, Rondell P. D. ; Boyum, James H. ; Heiken, Jay P. ; Takahashi, Naoki</creator><creatorcontrib>Kozaka, Kazuto ; Takahashi, Hiroaki ; Inoue, Akitoshi ; Graham, Rondell P. D. ; Boyum, James H. ; Heiken, Jay P. ; Takahashi, Naoki</creatorcontrib><description>Objectives
To describe the prevalence, clinical and radiological findings of biliary prolapse in pathologically proven mucinous cystic neoplasm of the liver (MCN-L).
Methods
Thirty-four patients, all female with median age 50 years (range, 14–82), with histologically confirmed MCN-L were enrolled. Median tumor size was 9 cm (range, 2–21 cm). Fifty-seven examinations (17 ultrasound, 25 CT, and 15 MR) among 34 MCN-Ls were reviewed. Two radiologists retrospectively assessed images for tumor location, size and other morphological features of the tumor, presence of biliary prolapse and upstream bile duct dilatation. Ultrasound, CT, and MR were assessed separately. Clinical features were evaluated. Clinical and radiological characteristics of MCN-L with and without biliary prolapse were compared.
Results
15% (5/34) of MCN-Ls showed biliary prolapse confirmed at pathology. None of MCN-Ls were associated with invasive carcinoma. Patients with biliary prolapse were significantly younger than those without (median 27 years [22–56] vs. median 51 years [14–82],
p
= 0.03). MCN-Ls with biliary prolapse were significantly smaller than those without (median 6.4 cm [2.2–7.5] vs. median 9.6 cm [3.1–21],
p
= 0.01). The upstream bile duct was dilated more frequently in MCN-Ls with biliary prolapse (100% vs. 38%,
p
= 0.02). Jaundice was significantly more common in MCN-Ls with biliary prolapse (80 vs 3%,
p
= 0.0005). Other clinical or radiological features were not significantly different between two groups.
Conclusions
Biliary prolapse was found in 15% of MCN-Ls. MCN-Ls with biliary prolapse were significantly smaller and were more commonly associated with upstream bile duct dilation and jaundice than those without biliary prolapse.</description><identifier>ISSN: 1867-1071</identifier><identifier>EISSN: 1867-108X</identifier><identifier>DOI: 10.1007/s11604-022-01361-3</identifier><identifier>PMID: 36401061</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Bile Duct Neoplasms - pathology ; Bile ducts ; Computed tomography ; Female ; Humans ; Imaging ; Jaundice ; Liver ; Liver cancer ; Liver Neoplasms - pathology ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasms ; Neoplasms, Cystic, Mucinous, and Serous - complications ; Nuclear Medicine ; Original ; Original Article ; Prolapse ; Radiology ; Radiotherapy ; Retrospective Studies ; Tomography, X-Ray Computed - methods ; Tumors ; Ultrasonic imaging ; Ultrasound ; Upstream</subject><ispartof>Japanese journal of radiology, 2023-04, Vol.41 (4), p.409-416</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-7f07e4a09204054f1500249ce8cf36141394ec68bdf77e36fea8df170cd702273</citedby><cites>FETCH-LOGICAL-c499t-7f07e4a09204054f1500249ce8cf36141394ec68bdf77e36fea8df170cd702273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11604-022-01361-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11604-022-01361-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36401061$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kozaka, Kazuto</creatorcontrib><creatorcontrib>Takahashi, Hiroaki</creatorcontrib><creatorcontrib>Inoue, Akitoshi</creatorcontrib><creatorcontrib>Graham, Rondell P. D.</creatorcontrib><creatorcontrib>Boyum, James H.</creatorcontrib><creatorcontrib>Heiken, Jay P.</creatorcontrib><creatorcontrib>Takahashi, Naoki</creatorcontrib><title>Mucinous cystic neoplasms of the liver with biliary prolapse</title><title>Japanese journal of radiology</title><addtitle>Jpn J Radiol</addtitle><addtitle>Jpn J Radiol</addtitle><description>Objectives
To describe the prevalence, clinical and radiological findings of biliary prolapse in pathologically proven mucinous cystic neoplasm of the liver (MCN-L).
Methods
Thirty-four patients, all female with median age 50 years (range, 14–82), with histologically confirmed MCN-L were enrolled. Median tumor size was 9 cm (range, 2–21 cm). Fifty-seven examinations (17 ultrasound, 25 CT, and 15 MR) among 34 MCN-Ls were reviewed. Two radiologists retrospectively assessed images for tumor location, size and other morphological features of the tumor, presence of biliary prolapse and upstream bile duct dilatation. Ultrasound, CT, and MR were assessed separately. Clinical features were evaluated. Clinical and radiological characteristics of MCN-L with and without biliary prolapse were compared.
Results
15% (5/34) of MCN-Ls showed biliary prolapse confirmed at pathology. None of MCN-Ls were associated with invasive carcinoma. Patients with biliary prolapse were significantly younger than those without (median 27 years [22–56] vs. median 51 years [14–82],
p
= 0.03). MCN-Ls with biliary prolapse were significantly smaller than those without (median 6.4 cm [2.2–7.5] vs. median 9.6 cm [3.1–21],
p
= 0.01). The upstream bile duct was dilated more frequently in MCN-Ls with biliary prolapse (100% vs. 38%,
p
= 0.02). Jaundice was significantly more common in MCN-Ls with biliary prolapse (80 vs 3%,
p
= 0.0005). Other clinical or radiological features were not significantly different between two groups.
Conclusions
Biliary prolapse was found in 15% of MCN-Ls. MCN-Ls with biliary prolapse were significantly smaller and were more commonly associated with upstream bile duct dilation and jaundice than those without biliary prolapse.</description><subject>Bile Duct Neoplasms - pathology</subject><subject>Bile ducts</subject><subject>Computed tomography</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Jaundice</subject><subject>Liver</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - pathology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasms</subject><subject>Neoplasms, Cystic, Mucinous, and Serous - complications</subject><subject>Nuclear Medicine</subject><subject>Original</subject><subject>Original Article</subject><subject>Prolapse</subject><subject>Radiology</subject><subject>Radiotherapy</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Upstream</subject><issn>1867-1071</issn><issn>1867-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9Uc9LHDEUDmJRq_4DHspAL16mfW-STTIgSFmsFiy9KHgL2UziRmYn02TGsv99s511bXvwlMD73vfjfYScIXxCAPE5IXJgJVRVCUg5lnSPHKHkokSQD_u7v8BD8j6lJwDOKGMH5JByBggcj8jF99H4LoypMOs0eFN0NvStTqtUBFcMS1u0_tnG4pcflsXCt17HddHH0Oo-2RPyzuk22dPte0zuv17dzW_K2x_X3-ZfbkvD6noohQNhmYa6AgYz5nAGULHaWGlcts2Q1swaLheNE8JS7qyWjUMBphE5nKDH5HLi7cfFyjbGdkPUreqjX2U7Kmiv_p10fqkew7PKZ-IcK8gM51uGGH6ONg1q5ZOxbatz3jGpLCKxrpjgGfrxP-hTGGOX86lK1kCpnMkNYTWhTAwpRet2bhA2skJN7agcQP1pR9G89OHvHLuVlzoygE6AlEfdo42v2m_Q_gZAaJnv</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Kozaka, Kazuto</creator><creator>Takahashi, Hiroaki</creator><creator>Inoue, Akitoshi</creator><creator>Graham, Rondell P. D.</creator><creator>Boyum, James H.</creator><creator>Heiken, Jay P.</creator><creator>Takahashi, Naoki</creator><general>Springer Nature Singapore</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230401</creationdate><title>Mucinous cystic neoplasms of the liver with biliary prolapse</title><author>Kozaka, Kazuto ; Takahashi, Hiroaki ; Inoue, Akitoshi ; Graham, Rondell P. D. ; Boyum, James H. ; Heiken, Jay P. ; Takahashi, Naoki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-7f07e4a09204054f1500249ce8cf36141394ec68bdf77e36fea8df170cd702273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bile Duct Neoplasms - pathology</topic><topic>Bile ducts</topic><topic>Computed tomography</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Jaundice</topic><topic>Liver</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - pathology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasms</topic><topic>Neoplasms, Cystic, Mucinous, and Serous - complications</topic><topic>Nuclear Medicine</topic><topic>Original</topic><topic>Original Article</topic><topic>Prolapse</topic><topic>Radiology</topic><topic>Radiotherapy</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Upstream</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kozaka, Kazuto</creatorcontrib><creatorcontrib>Takahashi, Hiroaki</creatorcontrib><creatorcontrib>Inoue, Akitoshi</creatorcontrib><creatorcontrib>Graham, Rondell P. D.</creatorcontrib><creatorcontrib>Boyum, James H.</creatorcontrib><creatorcontrib>Heiken, Jay P.</creatorcontrib><creatorcontrib>Takahashi, Naoki</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Japanese journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kozaka, Kazuto</au><au>Takahashi, Hiroaki</au><au>Inoue, Akitoshi</au><au>Graham, Rondell P. D.</au><au>Boyum, James H.</au><au>Heiken, Jay P.</au><au>Takahashi, Naoki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mucinous cystic neoplasms of the liver with biliary prolapse</atitle><jtitle>Japanese journal of radiology</jtitle><stitle>Jpn J Radiol</stitle><addtitle>Jpn J Radiol</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>41</volume><issue>4</issue><spage>409</spage><epage>416</epage><pages>409-416</pages><issn>1867-1071</issn><eissn>1867-108X</eissn><abstract>Objectives
To describe the prevalence, clinical and radiological findings of biliary prolapse in pathologically proven mucinous cystic neoplasm of the liver (MCN-L).
Methods
Thirty-four patients, all female with median age 50 years (range, 14–82), with histologically confirmed MCN-L were enrolled. Median tumor size was 9 cm (range, 2–21 cm). Fifty-seven examinations (17 ultrasound, 25 CT, and 15 MR) among 34 MCN-Ls were reviewed. Two radiologists retrospectively assessed images for tumor location, size and other morphological features of the tumor, presence of biliary prolapse and upstream bile duct dilatation. Ultrasound, CT, and MR were assessed separately. Clinical features were evaluated. Clinical and radiological characteristics of MCN-L with and without biliary prolapse were compared.
Results
15% (5/34) of MCN-Ls showed biliary prolapse confirmed at pathology. None of MCN-Ls were associated with invasive carcinoma. Patients with biliary prolapse were significantly younger than those without (median 27 years [22–56] vs. median 51 years [14–82],
p
= 0.03). MCN-Ls with biliary prolapse were significantly smaller than those without (median 6.4 cm [2.2–7.5] vs. median 9.6 cm [3.1–21],
p
= 0.01). The upstream bile duct was dilated more frequently in MCN-Ls with biliary prolapse (100% vs. 38%,
p
= 0.02). Jaundice was significantly more common in MCN-Ls with biliary prolapse (80 vs 3%,
p
= 0.0005). Other clinical or radiological features were not significantly different between two groups.
Conclusions
Biliary prolapse was found in 15% of MCN-Ls. MCN-Ls with biliary prolapse were significantly smaller and were more commonly associated with upstream bile duct dilation and jaundice than those without biliary prolapse.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>36401061</pmid><doi>10.1007/s11604-022-01361-3</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1867-1071 |
| ispartof | Japanese journal of radiology, 2023-04, Vol.41 (4), p.409-416 |
| issn | 1867-1071 1867-108X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10066120 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Bile Duct Neoplasms - pathology Bile ducts Computed tomography Female Humans Imaging Jaundice Liver Liver cancer Liver Neoplasms - pathology Medicine Medicine & Public Health Middle Aged Neoplasms Neoplasms, Cystic, Mucinous, and Serous - complications Nuclear Medicine Original Original Article Prolapse Radiology Radiotherapy Retrospective Studies Tomography, X-Ray Computed - methods Tumors Ultrasonic imaging Ultrasound Upstream |
| title | Mucinous cystic neoplasms of the liver with biliary prolapse |
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