A CASE OF SMALL CELL CARCINOMA OF THE INTRAHEPATIC BILE DUCT WITH CONGENITAL BILIARY DILATATION
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- HOSHIKAWA Tatsuhiko
- Department of Surgery, Mito Red Cross Hospital Department of Gastroenterological Surgery, Tokai University Hospital
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- FURUUCHI Takayuki
- Department of Surgery, Mito Red Cross Hospital
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- OIDA Yasuhisa
- Department of Gastroenterological Surgery, Tokai University Hospital
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- MAKUUCHI Hiroyasu
- Department of Gastroenterological Surgery, Tokai University Hospital
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- SAKUMA Masayoshi
- Department of Surgery, Mito Red Cross Hospital
Bibliographic Information
- Other Title
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- 先天性胆道拡張症に合併した肝内胆管原発小細胞癌の1例
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Abstract
A 33-year-old woman who had the abrupt onset of right upper abdominal pain during pregnancy visited a hospital on October 17, 2003. Following abdominal ultrasonographic study which disclosed dilatation of the intrahepatic bile duct, she was referred to our hospital for close exploration. Abdominal ultrasonography at our hospital revealed cystic dilatation of the common and intrahepatic bile ducts and an about 45mm-sized well-defined and solid tumor in the left intrahepatic bile duct. After other examinations bile duct cancer at the left porta hepatis associated with congenital dilatation of bile duct was suspected, and left lobectomy of liver and excision of the extrahepatic bile duct were performed on February 4, 2004 when she had been delivered. On the removed material we confirmed an elastic-soft and solid tumor, with a yellowish white section, projecting into the dilated left intrahepatic bile duct, and then diagnosed it as small cell carcinoma of the bile duct histopathologically. Abdominal CT scan performed one year after the operation showed recurrence at the surgical stump of liver. She has been followed under chemotherapy at present.<br> Small cell carcinoma of the bile duct is a rare entity and a total of 13 cases, including ours, have been reported, but only our case is of the intrahepatic origin. Many patients have poor prognosis even after radical surgery so that aggressive postoperative adjuvant therapies must be considered.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (3), 701-706, 2006
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282679823646592
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- NII Article ID
- 130003604918
- 10019249944
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed