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Multiple bile duct cancers presenting 3 years after resection of early gallbladder cancer: Case report
Author(s) -
Miyakawa Shuichi,
Horiguchi Akihiko,
Hayakawa Makoto,
Mizuno Kenji,
Ishihara Shin,
Miura Kaoru,
Horiguchi Yuji,
Imai Hideo,
Itoh Madoka
Publication year - 1994
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02391106
Subject(s) - medicine , gallbladder , bile duct , percutaneous transhepatic cholangiography , left hepatic duct , gallbladder cancer , bile duct cancer , cholangiography , anastomosis , cholecystectomy , radiology , hepatectomy , carcinoma , gastroenterology , general surgery , resection , surgery
A 76‐year‐old woman underwent combined resection of the gallbladder plus partial hepatectomy for early gallbladder cancer. From the pathology results, the surgical treatment was deemed to have been curative. However, 3 years later, the patient was readmitted to the hospital with an elevated carbohydrate antigen (CA) 19‐9 level. Percutaneous transhepatic cholangiography demonstrated irregularity of the common hepatic duct and the left intrahepatic bile duct, and percutaneous transhepatic cholangioscopy revealed two separate papillary tumors at these sites. A diagnosis of multiple carcinomas of the bile duct was made and left hepatic lobectomy and resection of the extrahepatic bile duct was performed; reconstruction was carried out with a right hepatico‐jejunostomy with Roux‐en‐Y anastomosis. Microscopic study revealed that both of the lesions were papillary adenocarcinomas, and normal biliary mucosa was confirmed to exist between them.