ID 109619
Title Transcription
タンカンナイ シュヨウセン オ ミトメ ゲンパツセイ カンナイ タンカンガン トノ カンベツ オ ヨウシタ イジセイ ダイチョウガン カンテンイ ノ 1セツジョレイ
Title Alternative
A case of Liver Metastasis with Biliary Tumor Thrombus from Colon Cancer with Difficult Differentiating from Cholangiocellular Carcinoma
Author
Miyake, Hidenori Department of Surgery, Tokushima Municipal Hospital
Kanemura, Hirofumi Department of Surgery, Tokushima Municipal Hospital
Hanaoka, Jun Department of Surgery, Tokushima Municipal Hospital
Kobayashi, Akimi Department of Surgery, Tokushima Municipal Hospital
Matsumoto, Noriko Department of Surgery, Tokushima Municipal Hospital
Miyoshi, Takanori Department of Surgery, Tokushima Municipal Hospital
Aoyama, Mariko Department of Surgery, Tokushima Municipal Hospital
Kuroda, Takeshi Department of Surgery, Tokushima Municipal Hospital
Ogata, Yorihiko Department of Surgery, Tokushima Municipal Hospital
Hino, Naoki Department of Surgery, Tokushima Municipal Hospital
Yamasaki, Shinichi Department of Surgery, Tokushima Municipal Hospital
Sonaka, Yasuhide Department of Surgery, Tokushima Municipal Hospital
Tsuyuguchi, Masaru Department of Surgery, Tokushima Municipal Hospital
Kiyoku, Hiroshi Department of Pathology, Tokushima Municipal Hospital
Kudo, Eiji Department of Pathology, Tokushima Municipal Hospital
Keywords
colon cancer
liver metastasis
biliary tumor thrombus
Content Type
Journal Article
Description
The patient was a 68-year-old man who had undergone right hemicolectomy for ascending colon cancer, and pulmonary resection for lung metastases. After 10 months of operations, abdominal computed tomograms revealed a liver tumor with a biliary tumor thrombus in the segment 5 and a localized dilation of the intrahepatic bile duct. Endoscopic retrograde cholangiopancreatography showed obstruction, 2cm long, of the intrahepatic bile duct (B5) and dilation of the peripheral duct. Cytological examination of extracted bile showed adenocarcinoma. A right hepatic lobectomy was performed under the diagnosis of metastatic liver tumor with tumor development in the intrahepatic bile duct or intrahepatic cholangiocarcinoma. The resected specimen showed massive infiltration of the tumor into intrahepatic bile duct (B5) with forming a tumor thrombus. Histologically, the tumor was moderately differentiated adenocarcinoma, similar to the ascending colon cancer. The final diagnosis was liver metastasis of ascending colon cancer with intrabiliary tumor growth.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
69
Issue
1-2
Start Page
83
End Page
88
Sort Key
83
Published Date
2013-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital