Bile Duct Adenoma with Oncocytic Features

Bile duct adenomas are benign bile duct proliferations usually encountered as an incidental finding. Oncocytic bile duct neoplasms are rare and the majority are malignant. A 61-year-old male with a diagnosis of colorectal adenocarcinoma was undergoing surgery when a small white nodule was discovered...

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Main Authors: E. J. Johannesen, Zihao Wu, Jason-Scott Holly
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2014/282010
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author E. J. Johannesen
Zihao Wu
Jason-Scott Holly
author_facet E. J. Johannesen
Zihao Wu
Jason-Scott Holly
author_sort E. J. Johannesen
collection DOAJ
description Bile duct adenomas are benign bile duct proliferations usually encountered as an incidental finding. Oncocytic bile duct neoplasms are rare and the majority are malignant. A 61-year-old male with a diagnosis of colorectal adenocarcinoma was undergoing surgery when a small white nodule was discovered on the surface of the right lobe of his liver. This lesion was composed of cytologically bland cells arranged in tightly packed glands. These cells were immunopositive for cytokeratin 7, negative for Hep Par 1, contained mucin, and had a Ki67 proliferation index of 8%. The morphology, immunophenotype, presence of mucin, and normal appearing bile ducts, as well as the increased Ki67 proliferation rate, were consistent with a bile duct adenoma with oxyphilic (oncocytic) change. Oncocytic tumors in the liver are rare; the first described in 1992. Only two bile duct adenomas with oncocytic change have been reported and neither of them had reported mucin production or the presence of normal appearing bile ducts within the lesion.
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spelling doaj-art-02febd2ce46e4882b202a913a02bdebd2025-02-03T01:30:26ZengWileyCase Reports in Pathology2090-67812090-679X2014-01-01201410.1155/2014/282010282010Bile Duct Adenoma with Oncocytic FeaturesE. J. Johannesen0Zihao Wu1Jason-Scott Holly2Departments of Pathology, University of Missouri Hospitals and Clinics, M263 Medical Science Building, One Hospital Drive, Columbia, MO 65212, USADepartments of Surgery, University of Missouri Hospitals and Clinics, M263 Medical Science Building, One Hospital Drive, Columbia, MO 65212, USADepartments of Pathology, University of Missouri Hospitals and Clinics, M263 Medical Science Building, One Hospital Drive, Columbia, MO 65212, USABile duct adenomas are benign bile duct proliferations usually encountered as an incidental finding. Oncocytic bile duct neoplasms are rare and the majority are malignant. A 61-year-old male with a diagnosis of colorectal adenocarcinoma was undergoing surgery when a small white nodule was discovered on the surface of the right lobe of his liver. This lesion was composed of cytologically bland cells arranged in tightly packed glands. These cells were immunopositive for cytokeratin 7, negative for Hep Par 1, contained mucin, and had a Ki67 proliferation index of 8%. The morphology, immunophenotype, presence of mucin, and normal appearing bile ducts, as well as the increased Ki67 proliferation rate, were consistent with a bile duct adenoma with oxyphilic (oncocytic) change. Oncocytic tumors in the liver are rare; the first described in 1992. Only two bile duct adenomas with oncocytic change have been reported and neither of them had reported mucin production or the presence of normal appearing bile ducts within the lesion.http://dx.doi.org/10.1155/2014/282010
spellingShingle E. J. Johannesen
Zihao Wu
Jason-Scott Holly
Bile Duct Adenoma with Oncocytic Features
Case Reports in Pathology
title Bile Duct Adenoma with Oncocytic Features
title_full Bile Duct Adenoma with Oncocytic Features
title_fullStr Bile Duct Adenoma with Oncocytic Features
title_full_unstemmed Bile Duct Adenoma with Oncocytic Features
title_short Bile Duct Adenoma with Oncocytic Features
title_sort bile duct adenoma with oncocytic features
url http://dx.doi.org/10.1155/2014/282010
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