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De‐Novo Cholangiocarcinoma in the Setting of Recurrent Primary Sclerosing Cholangitis Following Liver Transplant
Author(s) -
Heneghan Michael A.,
TuttleNewhall J. Elizabeth,
Suhocki Paul V.,
Muir Andrew J.,
Morse Michael,
Bornstein Jeffrey D.,
Sylvestre Pamela B.,
Collins Bradley,
Kuo Paul C.,
Rockey Don C.
Publication year - 2003
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1034/j.1600-6143.2003.00110.x
Subject(s) - medicine , primary sclerosing cholangitis , liver transplantation , biliary tract , cholangiography , gastroenterology , transplantation , radiology , disease
Orthotopic liver transplantation is the only definitive therapeutic option in patients with primary sclerosing cholangitis (PSC) and end‐stage liver disease. However, PSC recurs in up to 20% of patients transplanted for this indication. To date, no patient has been reported to develop cholangiocarcinoma (CCA) post‐transplant, without biliary tract cancer having been present pretransplant. Here, we report recurrent PSC complicated by de‐novo CCA in a 31‐year‐old man transplanted for PSC 8 years earlier. Cholangiocarcinoma was confirmed using a combination of computed tomography, cholangiography, positron emission tomography and histological examination of biliary cytology. He has since been successfully re‐transplanted following preoperative chemo‐radiotherapy. No viable tumor was identified in the explanted liver. This case establishes that long‐term complications associated with PSC and biliary‐enteric surgery such as CCA may become apparent in new grafts post‐transplant.