ID | 106060 |
著者 |
ヤマダ, シンイチロウ
The Department of Surgery, the University of Tokushima
ウツノミヤ, トオル
The Department of Surgery, the University of Tokushima
ハナオカ, ジュン
The Department of Surgery, the University of Tokushima
|
キーワード | pancreaticobiliary maljunction
hilar cholangiocarcinoma
cholecystectomy
|
資料タイプ |
学術雑誌論文
|
抄録 | Pancreaticobiliary maljunction (PBM) is associated with the occurrence of biliary cancer due to pancreatobiliary reflux. From the perspective of carcinogenesis, the treatment for PBM is controversial. We herein report a case of hilar cholangiocarcinoma 20 years after the occurrence of gallbladder cancer. A 75-year-old man was referred to our hospital regarding an obstructive jaundice and bile duct tumor. A cholecystectomy was performed for cholelithiasis on this patient 20 years ago, and cancer in situ was detected. Computed tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor of the portal hepatic region and PBM without dilatation of the bile duct. Adenocarcinoma was detected from bile cytology, and we diagnosed hilar cholangiocarcinoma. Despite the biliary decompression, jaundice was prolonged and the patient passed away. Our case suggests that not only cholecystectomy but also biliary diversion is needed for PBM regardless of the existence of bile duct dilatation.
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掲載誌名 |
The journal of medical investigation : JMI
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ISSN | 13431420
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cat書誌ID | AA11166929
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巻 | 60
|
号 | 1-2
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開始ページ | 169
|
終了ページ | 173
|
並び順 | 169
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発行日 | 2013-02
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EDB ID | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
|
部局 |
医学系
病院
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