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C ASE R EPORT : Mucinous cholangiocarcinoma featuring a multicystic appearance and periportal collar in imaging
Author(s) -
Mizukami Yusuke,
Ohta Hitoyoshi,
Arisato Satoshi,
Nakano Yasuhiro,
Murakami Masanori,
Orii Yutaka,
Saito Hiroya,
Sakurai Yasuo,
Sakurai Hiroharu,
Sato Teiko,
Uno Yuji,
Nakanuma Yasuni,
Ohhira Motoyuki,
Kohgo Yutaka
Publication year - 1999
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1046/j.1440-1746.1999.02033.x
Subject(s) - medicine , jaundice , intrahepatic bile ducts , pathology , parenchyma , bile duct , cholangiography , adenocarcinoma , radiology , liver parenchyma , biliary tract , gastroenterology , cancer
A case of mucinous cholangiocarcinoma (CC), a rare histological type of CC, featuring unusual images is reported. The patient was hospitalized because of acute development of jaundice and fever. Computed tomography demonstrated multiple cystic lesions in the liver and a band‐like low density area parallel to the intrahepatic portal vein, a so‐called ‘periportal collar’. Endoscopic cholangiography revealed a stricture of the hepatic duct with slight upstream dilatation. Cytology of the bile juice and fine‐needle aspiration of the cystic lesion in the liver disclosed mucinous carcinoma. The patient died of multiorgan failure 3 weeks after admission. The autopsied liver showed that multiple mucus lakes were lined with adenocarcinoma cells and signet ring cells were floating in the mucus lakes. The cancer cells had spread along the portal tract and invaded into the hepatic parenchyma. © 1999 Blackwell Science Asia Pty Ltd