Multiple bile duct cancers presenting 3 years after resection of early gallbladder cancer: Case report

Shuichi Miyakawa, Akihiko Horiguchi, Makoto Hayakawa, Kenji Mizuno, Shin Ishihara, Kaoru Miura, Yuji Horiguchi, Hideo Imai, Madoka Itoh

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)419-423
Number of pages5
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume1
Issue number4
DOIs
Publication statusPublished - 01-08-1994

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

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