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A resected case of bile duct cystadenocarcinoma
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- ASADA Takashi
- Department of Surgery 1, Faculty of Medicine, University of Miyazaki
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- CHIJIIWA Kazuo
- Department of Surgery 1, Faculty of Medicine, University of Miyazaki
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- KAI Masahiro
- Department of Surgery 1, Faculty of Medicine, University of Miyazaki
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- UCHIYAMA Shuichiro
- Department of Surgery 1, Faculty of Medicine, University of Miyazaki
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- OHUCHIDA Jiro
- Department of Surgery 1, Faculty of Medicine, University of Miyazaki
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- KONDO Kazuhiro
- Department of Surgery 1, Faculty of Medicine, University of Miyazaki
Bibliographic Information
- Other Title
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- 胆管嚢胞腺癌の1切除例
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Description
We report a case of bile duct cystadenocarcinoma of the liver. A 68-year old man, complaining of right hypochondralgia, was admitted to our University hospital. Abdominal ultrasonography and computed tomography (CT) revealed the presence of a cystic lesion,7 cm in diameter with an enhanced solid lesion in the lateral segment of the liver. The angiography showed an enhanced peripheral staining of the cystic leasion. These findings suggested bile duct cystadenocarcinoma. The CT also showed the another lesion,2 cm in diameter, in the segment 5 of the liver and carcinoma cannot be completely ruled out. After confirming that adenocarcinoma was present in the lateral segment by frozen section diagnosis of the needle biopsy specimen, left hepatic trisegmentectomy, caudate lobectomy, extrahepatic bile duct resection and lymph node dissection were performed. Histopathologically, the main cystic tumor was composed of mucin and proliferated well differentiated papillary adenocarcinoma invading the surrounding capsule and stroma. The final diagnosis was bile duct cystadenocarcinoma and lymph node metastasis was absent. However, the lesion in the segment 5 of the liver showed hyalinizing degenerative tissue without malignant cells. The postoperative course was uneventful and he is alive without recurrence for 15 months after surgery.
Journal
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- Tando
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Tando 19 (2), 166-170, 2005
Japan Biliary Association
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Details 詳細情報について
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- CRID
- 1390001205465030400
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- NII Article ID
- 130004675772
- 10031122792
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- NII Book ID
- AN10062001
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- ISSN
- 09140077
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
