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Metachronous double cancer of the gallbladder and common bile duct
Author(s) -
Fujii Tsutomu,
Kaneko Tetsuya,
Sugimoto Hiroyuki,
Okochi Osamu,
Inoue Soichiro,
Takeda Shin,
Nagasaka Tetsuro,
Nakao Akimasa
Publication year - 2004
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/s00534-003-0880-5
Subject(s) - medicine , bile duct cancer , gallbladder cancer , bile duct , papillary adenocarcinoma , cholecystectomy , common bile duct , adenocarcinoma , biliary tract , gallbladder , radiology , jaundice , pancreaticoduodenectomy , cancer , gastroenterology , pancreas
We report a rare case of metachronous double cancer of the biliary tract. At age 59 years, a man had undergone a cholecystectomy and resection of the liver bed for gallbladder cancer pathologically diagnosed as papillary adenocarcinoma, in 1997. Four years later, he was admitted to our hospital with jaundice. At first, we suspected lymph node metastasis of the gallbladder cancer along the common bile duct. But abdominal computed tomography demonstrated circular wall thickness of the common bile duct, so primary bile duct cancer was strongly suspected. Thus, extended right hepatectomy and pancreaticoduodenectomy were performed after right portal vein embolization. The pathological diagnosis of the resected specimen was well‐differentiated tubular adenocarcinoma, and this case was clarified to be metachronous double cancer. A review of the literature regarding double cancer of the biliary tract is presented following this case report. We showed that half of 30 cases of double cancer of the biliary tract were not associated with pancreaticobiliary maljunction, including all 6 metachronous cases.