A Case of Synchronous Double Cancers Composed of Advanced Gallbladder Cancer and Early Bile Duct Cancer for which Radical Operation was Performed.

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  • 拡大胆嚢摘出術および膵頭十二指腸切除術を施行後３年間生存中である胆嚢癌，胆管癌同時性重複癌の１例
  • カクダイ タンノウ テキシュツジュツ オヨビ スイトウ ジュウニシチョウ セツジョジュツ オ シコウゴ 3ネンカン セイゾンチュウ デアル タンノウガン タンカンガン ドウジセイ チョウフクガン ノ 1レイ
  • 症例報告 拡大胆嚢摘出術および膵頭十二指腸切除術を施行後3年間生存中である胆嚢癌,胆管癌同時性重複癌の1例
  • ショウレイ ホウコク カクダイ タンノウ テキシュツジュツ オヨビ スイトウ ジュウニシチョウ セツジョジュツ オ シコウゴ 3ネンカン セイゾンチュウ デ アル タンノウ ガン タンカン ガン ドウジセイ チョウフク ガン ノ 1レイ

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Abstract

A 64-year-old man was admitted to our hospital because of liver dysfunction found in blood examination by a local physician. Some diagnostic images showed gallbladder wall thickening spread to the common hepatic duct. They also revealed a stenosis of inferior portion of common bile duct in the pancreas head and brush cytology of the common bile duct disclosed Class III. The patient was diagnosed with having gallbladder cancer and common bile duct cancer. A pancreatoduodenectomy, extended cholecystectomy, and common bile duct excision were carried out in July 2004. Resected specimen was histpathologically shown to have advanced gallbladder carcinoma and early bile duct carcinoma without lyphnode metastasis, so this case was diagnosed with having synchronous double cancers. In fact, it is difficult to cure advanced gallbladder cancer by surgery alone and the prognosis of the patient with advanced gall bladder cancers is very poor. Postoperatively, the patient received adjuvant chemotherapy with gemcitabine, so he is still alive now without major recurrence. The case was presented together with a review of the literature.

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