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Invasive micropapillary carcinoma of the extrahepatic bile duct and its malignant potential.
- Source :
-
Oncology reports [Oncol Rep] 2014 Oct; Vol. 32 (4), pp. 1355-61. Date of Electronic Publication: 2014 Aug 07. - Publication Year :
- 2014
-
Abstract
- Invasive micropapillary carcinoma (IMPC) was originally described as a distinctive type of invasive carcinoma in the breast, but it has not been recognized as a histological type of the extrahepatic bile duct cancer. The present study demonstrated clinicopathological features and patient prognosis of IMPC. We examined histological reviews of 93 consecutive cases of the extrahepatic bile duct cancer and identified 13 cases which included IMPC component. The component of IMPC ranged from 5 to 60% of the primary tumor tissue, which was mainly detected at the invasive front of the tumor. Of the 13 cases, 12 (92.3%) carcinomas with IMPC showed lymph node metastasis more frequently compared to conventional adenocarcinoma (39.2%, P<0.001). Presence of IMPC component was significantly associated with poor overall survival (P=0.003). In conclusion, extrahepatic bile duct carcinoma with IMPC component showed significant lymphatic invasion, lymph node metastasis, and resulted in poor prognosis.
- Subjects :
- Adult
Aged
Aged, 80 and over
Bile Duct Neoplasms metabolism
Bile Duct Neoplasms surgery
Carcinoma metabolism
Carcinoma pathology
Carcinoma surgery
Carcinoma, Papillary metabolism
Carcinoma, Papillary surgery
Cohort Studies
Disease-Free Survival
Female
Hepatectomy
Humans
Immunohistochemistry
Lymph Node Excision
Lymphatic Metastasis
Male
Membrane Glycoproteins metabolism
Middle Aged
Mucins metabolism
Pancreaticoduodenectomy
Prognosis
Retrospective Studies
Bile Duct Neoplasms pathology
Bile Ducts, Extrahepatic pathology
Carcinoma, Papillary pathology
Lymph Nodes pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1791-2431
- Volume :
- 32
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Oncology reports
- Publication Type :
- Academic Journal
- Accession number :
- 25109922
- Full Text :
- https://doi.org/10.3892/or.2014.3394