Clinicopathological Study of Resections of Intraductal Papillary Neoplasm of the Bile Duct

Abstract

Background/aim: The aim of this study was to examine the clinicopathological features of intraductal papillary neoplasm of the bile duct (IPNB) and investigate their relationships with intraductal papillary mucinous neoplasm (IPMN).

Patients and methods: Our study included 104 patients who underwent resection of tumors that showed papillary growth within the bile duct and pancreas.

Results: Comparisons were performed based on subtypes and histological grades. The presence of various histological grades was confirmed in both the IPNB group and the IPMN group, and statistical significance was found in the between-group comparisons of subtypes and histological grades. It was shown that while all patients who underwent IPNB resection did not match the classifications proposed by Nakanuma et al., they did reflect classification characteristics.

Conclusion: IPNB and IPMN have common clinical histological features. Common features between IPNB subtype classifications were also identified, which may provide novel diagnostics.

Keywords: Intraductal papillary neoplasm of the bile duct (IPNB); clinicopathological study; intraductal papillary mucinous neoplasm (IPMN); subtypes.