Metachronous double cancer of the gallbladder and common bile duct

Journal of Hepato-biliary-pancreatic Surgery
Tsutomu FujiiAkimasa Nakao

Abstract

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.

Citations

Jul 18, 2009·World Journal of Gastroenterology : WJG·Hye Jin JooRohyun Sung
Nov 10, 2012·World Journal of Gastroenterology : WJG·Tatsuaki SumiyoshiAkihito Kozuki
Jun 23, 2012·Journal of Gastroenterology·Terumi KamisawaUNKNOWN Japanese Study Group on Pancreaticobiliary Maljunction
Jun 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Tsuyoshi ItohKazuyo Naito
Jan 18, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ayako OnoKaori Togashi
Aug 31, 2011·Japanese Journal of Clinical Oncology·Shin KobayashiMotohiro Kojima
Aug 16, 2006·Japanese Journal of Clinical Oncology·Hiiroshige HoriTakahiro Fujimori

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