Table 1. Characteristics of our cases.
Items | Case 1 | Case 2 | Case 3 | Case 4 |
Gender | Female | Female | Male | Male |
Age(y) | 21 | 39 | 80 | 61 |
Clinical Findings | None | Abdominal pain | None | None |
Clinical Diagnosis | Biliary cystadenoma | Biliary cystadenoma | Biliary cystadenoma | Mucus-producing cholangio-carcinoma |
Operative Procedure | Extended right hepatectomy | Left hepatectomy | Left hepatectomy | Left hepatectomy |
OMS | Absence | Presence | Absence | Absence |
Luminal communication with bile duct | Presence | Presence | Presence | Presence |
Atypicality of intracystic epithelium | Absence | Absence | Presence | Presence |
Interstitial infiltration | Absence | Absence | Absence | Presence |
Expression of mucin protein | MUC1−/MUC2− | MUC1−/MUC2− | MUC1+/MUC2− | MUC1+/MUC2+ |
Traditional histopathological diagnosis | Biliary cystadenoma | Biliary cystadenoma | Biliary cystadenoma | Biliary cystadenocarcinoma |
New histopathological diagnosis | IPN of the bile duct | MCN and IPN of the bile duct | IPN of the bile duct | IPN of the bile duct |
OMS, ovarian mesenchymal stroma; MUC, mucin; IPN, intraductal papillary neoplasm; MCN, mucinous cystic neoplasm.