Korean J Pancreas Biliary Tract.  2017 Jan;22(1):39-45. 10.15279/kpba.2017.22.1.39.

Intraductal Papillary Mucinous Neoplasms of the Bile Duct Treated with Argon Plasma Coagulation

• Park SG
• Baek DH
• Kim GH
• Heo J
• Song GA
• Ahn SJ
• Kim DU

• KMID: 2448592
• DOI: http://doi.org/10.15279/kpba.2017.22.1.39

Abstract

Intraductal papillary mucinous neoplasm of the bile duct (IPMN-B) is frequently found and has recently been recognized as a precancerous lesion leading to invasive carcinoma characterized by papillary growth of the ductal epithelium with rich mucin production and cystic dilatation of the hepatic duct. Surgical resection is the treatment of choice to avoid malignant transformation. Despite a growing number of studies on IPMN-B, there are few reports of its treatment aside from surgery. A 75-year-old woman was incidentally diagnosed as IPMN-B. Considering the patient's age, comorbidity, and preference, we recommended an argon plasma coagulation (APC) as local ablation therapy rather than surgical resection. There was no evidence of remnant tumor on percutaneous transhepatic cholangioscopy 4 weeks after the ablation of tumor mass by using APC. We report a rare case of IPMN-B successfully treated with APC.

Keyword

Argon plasma coagulation; Bile duct neoplasms; Mucin; Treatment

MeSH Terms

Aged
Argon Plasma Coagulation*
Argon*
Bile Duct Neoplasms
Bile Ducts*
Bile*
Comorbidity
Dilatation
Epithelium
Female
Hepatic Duct, Common
Humans
Mucins*
Argon
Mucins