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Carcinoid tumor of the extrahepatic bile ducts: Sonographic,cholangiographic, and MDCT features
Authors:Juan Carlos Baez  Hope E. Peters  Walter Chan  Jonathan Glickman  Koenraad J. Mortelé
Affiliation:1. Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women''s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, USA;2. Department of Gastroenterology, Brigham and Women''s Hospital, Harvard Medical School, Boston, MA, USA;3. Department of Surgical Pathology, Brigham and Women''s Hospital, Harvard Medical School, Boston, MA, USA
Abstract:Carcinoid tumors of the biliary tree are exceedingly rare. To the best of our knowledge, this is the fourth reported case of a biliary carcinoid in the radiological literature. We herein report on a 50-year-old female with a history of breast cancer who presented with epigastric pain. Laboratory evaluation revealed results consistent with obstructive jaundice. Right upper quadrant ultrasound and multidetector-row CT scan showed an intraductal and well-defined tumor in the porta hepatis with dilated intrahepatic bile ducts. Endoscopic retrograde cholangiography showed the intraluminal growth of the tumor was arising from the right hepatic duct. Familiarity with the imaging appearances may prompt early recognition of biliary carcinoids and allow differentiation from other more common biliary neoplasms.
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