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ENDOSCOPIC DIAGNOSIS OF THE DISTAL COMMON BILE DUCT MYOFIBROBLASTIC TUMOR IN THE35-YEAR-OLD PATIENT

Abstract

Aim: The inflammatory myofibroblastic tumor (IMT) is rare and has an intermediate malignancy in terms of local invasiveness. There are pulmonary and extrapulmonary forms that are rare to be come across. Among extrapulmonary forms, biliary lesion occurs in isolated instances. Due to the rarity of the disease, we provide our own clinical observation. In a 35-year-old patient various instrumental methods showed the formation in the distal common bile duct (CBD), which manifested the painless form of jaundice. The presence of tissue mass in the distal CBD is often associated with malignant neoplasms. One of the informative instrumental techniques turned out to be endosonography and endoscopic retrograde therapeutic and diagnostic interventions on extrahepatic bile ducts with biopsy sampling. Due to the rarity of the disease and the precaution regarding the malignant origin of the neoplasm in the distal CBD, the patient underwent a surgery. Histological and immunohistochemical data confirmed the inflammatory myofibroblastic tumor.

About the Authors

E. A. Godzhello
Petrovsky National Research Center of Surgery
Russian Federation


M. V. Khrustaleva
Petrovsky National Research Center of Surgery
Russian Federation


N. A. Bulganina
Petrovsky National Research Center of Surgery
Russian Federation


M. A. Dekhtyar
Petrovsky National Research Center of Surgery
Russian Federation


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Review

For citations:


Godzhello E.A., Khrustaleva M.V., Bulganina N.A., Dekhtyar M.A. ENDOSCOPIC DIAGNOSIS OF THE DISTAL COMMON BILE DUCT MYOFIBROBLASTIC TUMOR IN THE35-YEAR-OLD PATIENT. Experimental and Clinical Gastroenterology. 2018;(4):101-106. (In Russ.)

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