Clinical and pathological characteristics of primary carcinoma of the cystic duct

DOI

Bibliographic Information

Other Title
  • 胆嚢管原発癌の臨床的・病理組織学的特徴
  • Acomparative study with primary carcinoma of the gallbladder and the extrahepatic bile duct
  • 胆嚢原発癌および胆管癌と対比して

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Description

Clinical and pathological characteristics of primary carcinoma of the cystic duct were studied comparing to those of primary carcinoma of the gallbladder and extrahepatic bile duct. Incidence of co-existing gallstone (13.3%) and male to female ratio (1: 0.2) of the cystic duct carcinoma closely resembled to those of bile duct carcinoma. Acute acalculous cholecystitis was the typical clinical manifestation of cystic duct carcinoma in its early stage, while advanced carcinoma always showed obstructive jaundice due to invasion to the extrahepatic bile duct. Mode of direct extension of cystic duct carcinoma, ie, diffuse invasion into the hepato-duodenal ligament was similar to bile duct carcinoma. On the other hand, pattern of lymph node metastasis resembled to that of carcinoma of the gallbladder. Cumulative 3-year survival rate of cystic duct carcinoma after resection was only 9.1%. For differential diagnosis, it seemed essential to detect morphological change of the cystic duct by means of both direct cholangiography (ERC or PTC) and cholecystography (PTCCG).

Journal

  • Tando

    Tando 4 (4), 417-429, 1990

    Japan Biliary Association

Keywords

Details 詳細情報について

  • CRID
    1390001205467381376
  • NII Article ID
    130004675904
  • DOI
    10.11210/tando1987.4.4_417
  • ISSN
    09140077
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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