A case of advanced biliary tract cancer with multiple liver metastases treated by chemotherapy and subsequent curative resection

DOI
  • Nagase Hayato
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Toyoki Yoshikazu
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Ishido Keinosuke
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Kudo Daisuke
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Kimura Norihisa
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Tsutsumi Shinji
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine
  • Hakamada Kenichi
    Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine

Bibliographic Information

Other Title
  • 多発肝転移を伴う切除不能胆管癌に対して化学療法が著効し切除し得た1例

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Description

The patient was a 76-year-old man with distal BTC. Multiple liver metastases were detected during laparotomy. We judged the tumor to be unresectable and inserted a biliary tract metallic stent. We initiated chemotherapy with GEM+CDDP. After five courses of chemotherapy, no liver metastases were visualized on computed tomography. However, a swollen lymph node (#13) with abnormal uptake was observed. Thirty-three months after laparotomy, pancreatoduodenectomy was performed on this patient, whereupon pathological investigations confirmed a T2N0M0, Stage IB. Intraoperative findings revealed no remaining liver metastasis. Ten months after "conversion surgery," the patient was alive and well, with no signs of recurrence. The efficacy of conversion surgery for unresectable BTC has not been determined. However, it is important to evaluate the feasibility of conversion surgery for patients with unresectable BTC. Further studies are required to establish a treatment strategy for unresectable BTC that includes conversion surgery.

Journal

  • Tando

    Tando 29 (4), 800-807, 2015

    Japan Biliary Association

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