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J Korean Soc Radiol.  2012 Aug;67(2):113-116. 10.3348/jksr.2012.67.2.113.

Unexpected Metastasis of Intraductal Papillary Mucinous Neoplasm of the Bile Duct into Thoracic Cavity with Direct Extension: Case Report

Affiliations
  • 1Department of Radiology, Hanyang University Guri Hospital, Guri, Korea. radjena@hanyang.ac.kr
  • 2Department of Radiology, Hanyang University Seoul Hospital, Seoul, Korea.

Abstract

Intraductal papillary mucinous neoplasm (IPMN) is known to arise from intraductal proliferation of mucinous cells with findings of marked dilatation of the biliary or pancreatic duct. There are reports of the metastasis and extension of pancreatic IPMN. However, cases of biliary IPMN with direct metastasis, or metastasis to distant locations, are rare. We present a case of metastasis of biliary IPMN with unexpected direct extension into the thoracic cavity, and we attempt to account for the mechanism of this extension.


MeSH Terms

Bile
Bile Ducts
Dilatation
Mucins
Neoplasm Metastasis
Pancreatic Ducts
Thoracic Cavity
Mucins
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