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Recurrent carcinoma of cystic duct remnant with subcutaneous implantation in abdominal wall
Author(s) -
Bhuiya Mukhlesur Rahman,
Nimura Yuji,
Kamiya Junichi,
Kondo Satoshi,
Nagino Masato,
Kanai Michio,
Uesaka Katsuhiko,
Hayakawa Naokazu
Publication year - 1997
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/bf02489794
Subject(s) - medicine , abdominal wall , cholecystectomy , carcinoma , radiology , cholangiography , cystic duct , bile duct , bile duct carcinoma , adenocarcinoma , surgery , cancer , pathology
A case of recurrent carcinoma of the cystic duct remnant invading the common bile duct and portal vein with subcutaneous implantation of the abdominal wall is presented. The patient was a 55‐year‐old woman with an abdominal wall tumor at the site of the surgical scar of a cholecystectomy, performed at a local hospital 5 years ago for symptomatic cholelithiasis. The diagnosis was made by incisional biopsy of the tumor, computed tomography, percutaneous transhepatic cholangiography, and angiography. She underwent extended right hepatic lobectomy with en bloc resection of the caudate lobe, extrahepatic bile duct, and portal vein. The abdominal wall tumor was resected concomitantly. Histological examination showed that both the recurrent carcinoma of the cystic duct remnant and the abdominal wall implantation were moderately differentiated adenocarcinoma. This recurrence probably could have been prevented if both the macroscopic and microscopic examinations of the resected specimen had been precisely carried out after the previous cholecystectomy and the primary carcinoma identified and treated at that time.