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A Case of Primary Cystic Duct Carcinoma Based on Farrar's Criteria Necessitating Additional Resection Because of Difficult Preoperative Diagnosis
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- HIRAMITSU Takahisa
- Department of Surgery, Ichinomiya Municipal Hospital
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- NAGATA Jiro
- Department of Surgery, Ichinomiya Municipal Hospital
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- OHNISHI Eiji
- Department of Surgery, Ichinomiya Municipal Hospital
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- NAKANISHI Kenichi
- Department of Surgery, Ichinomiya Municipal Hospital
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- OHYA Hisaharu
- Department of Surgery, Ichinomiya Municipal Hospital
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- NISHI Tetsuo
- Department of Surgery, Ichinomiya Municipal Hospital
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- MASE Takahiro
- Department of Surgery, Ichinomiya Municipal Hospital
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- KAWASAKI Shingo
- Department of Surgery, Ichinomiya Municipal Hospital
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- HASIMOTO Shyoji
- Department of Surgery, Ichinomiya Municipal Hospital
Bibliographic Information
- Other Title
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- 術前診断が困難であり追加切除を要した Farrar の診断基準を満たす原発性胆嚢管癌の1例
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Description
A 70-year-old man with epigastralgia and right upper quadrant pain was found in ultrasonography showed gall bladder swelling and debris. ERCP did not evidence the cystic duct or gall bladder. Gastrointestinal endoscopy showed type 1 gastric cancer on the posterior wall of the gastric angle necessitating distal gastrectomy and cholecystectomy. The histological diagnosis was cystic duct carcinoma. We later resected the cystic duct and a segment of the common bile duct and removed regional lymph nodes, followed by Roux-en-Y hepaticojejunostomy. Microscopic examination showed no carcinoma or no lymph nodes metastasis. This carcinoma met Farrar's criteria for primary cystic duct carcinoma. The man has remained well in the 2 years since his operation. The Japanese literature reports 37 cases of primary cystic duct carcinoma.
Journal
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- The Japanese journal of gastroenterological surgery
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The Japanese journal of gastroenterological surgery 42 (11), 1687-1692, 2009-11-01
The Japanese Society of Gastroenterological Surgery
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Details 詳細情報について
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- CRID
- 1570572702563495168
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- NII Article ID
- 110007467478
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- NII Book ID
- AN00192066
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- ISSN
- 03869768
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- Text Lang
- ja
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- Data Source
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- CiNii Articles
