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Early Cancer of the Upper Biliary Tract, Report of a Case T. Kidokoro 1 1Department of Surgery, Juntendo University, School of Medicine pp.629-632
Published Date 1982/6/25
DOI https://doi.org/10.11477/mf.1403108949
  • Abstract
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 A report is made of relatively early cancer of the upper biliary tract recently experienced by us.

 The patient, a 63-year-old woman, was admitted to the hospital because of a chief complaint of jaundice. Ultrasonic examination showed dilatation of the intrahepatic ducts and swollen gallbladder. PTC revealed a tumor-like shadow about 1.8 cm in diameter in the choledochus. Because of marked stenosis of the common hepatic duct, PTC drainage was performed. Brushing cytologic examination was positive for squamous cell carcinoma (Class V).

 Simultaneous celiac angiography with PTC did not disclose any cancer infiltration around the bile duct, so that cancer was diagnosed as resectable.

 Resection of the bile duct was done along with anastomosis of the hepatic ducts with the jejunum. Findings at operation were H0, P0, S0, N0, Hinf0, Panc0, D0, G0. Thus, cancer was in the Stage I, and curative resection was performed. In the resected specimen, the tumor was 1.0×1.0×0.7 cm, and nodular. Histologically it was tubular adenocarcinoma accompanied with squamous metaplasia. The depth of invasion reached only the fibroelastic layer and the serosa was not involved. Cancer invasion of the bile duct in the longitudinal direction was not seen: ly(-), v(-), n(-) and ne(-).

 One year after the surgical operation the patient is in good health with no signs of recurrence.

 No consensus regarding early cancer of the bile duct is obtained yet. We have come across three patients in the Stage I of bile duct cancer (according to General Rules for Surgical Studies on Cancer of Biliary Tract) in the resent seven years. The prognosis is good in all. At present, these cancer cases in Stage I can be included in the category of early bile duct cancer.


Copyright © 1982, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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