A resected case of middle bile duct carcinoma, associated with superficial-spreading type gallbladder carcinoma.

Katoh, Takehito; Nakai, Takao; Ohba, Kohtaro; Okumura, Takako; Matsuura, Yutaka; Miyazaki, Yoshiki; Satoh, Tatsurou; Nagano, Ikuo; Yuasa, Norihiro; Uwatoko, Kunihiko; Hayashi, Shigekazu; Esaki, Masanori; Yamada, Masahiro; Kojima, Yoimi; Satake, Tatsunarí

doi:10.5833/jjgs.20.2229

Cited by 3 publications

(3 citation statements)

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“…For example, adenomyomatosis of the gallbladder, which is extension of the mucosa into and through a thickened muscular wall, has historically been considered to be an innocuous lesion. Recently, however, several cases of gallbladder cancer have been described in areas of adenomyomatosis (43,44). Similarly, carcinoma in situ has been reported to occur in patients with cholesterol polyps (45,46).…”

Section: Natural History Of Plgmentioning

confidence: 99%

Gallbladder Polyps: Epidemiology, Natural History and Management

Myers

Shaffer

Beck

2002

Canadian Journal of Gastroenterology

177

101

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Polypoid lesions of the gallbladder affect approximately 5% of the adult population. Most affected individuals are asymptomatic, and their gallbladder polyps are detected during abdominal ultrasonography performed for unrelated conditions. Although the majority of gallbladder polyps are benign, most commonly cholesterol polyps, malignant transformation is a concern. The differentiation of benign from malignant lesions can be challenging. Several features, including patient age, polyp size and number, and rapid growth of polyps, are important discriminating features between benign and malignant polyps. Based on the evidence highlighted in this review, the authors recommend resection in symptomatic patients, as well as in asymptomatic individuals over 50 years of age, or those whose polyps are solitary, greater than 10 mm in diameter, or associated with gallstones or polyp growth on serial ultrasonography. Novel imaging techniques, including endoscopic ultrasonography and enhanced computed tomography, may aid in the differential diagnosis of these lesions and permit expectant management.

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Section: Natural History Of Plgmentioning

confidence: 99%

Gallbladder Polyps: Epidemiology, Natural History and Management

Myers

Shaffer

Beck

2002

Canadian Journal of Gastroenterology

177

101

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“…The prognosis of patients with synchronous biliary primaries has been reported to be poor [5,6,19]. However, four of the seven patients in this series survived for >59 months, even though two of these patients had advanced tumors of both the bile duct and the gallbladder.…”

Section: Discussionmentioning

confidence: 76%

Synchronous primary tumors of the extrahepatic bile duct and gallbladder

et al. 1997

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Background and Objectives This study aims to clarify clinicopathologic characteristics of synchronous primaries of the extrahepatic bile duct and gallbladder. Understanding multiplicity and its histologic confirmation is an important step for successful surgical management. Methods Of the 190 cases of resection of biliary tract neoplasms in this study, 10 had two separate tumors in the extrahepatic bile duct and gallbladder, which were investigated by the microscopic mapping technique for tumor extent using serial stepwise sectioning of specimens. Results Clinical diagnosis was made successfully in only two cases. Detailed histologic examination revealed seven cases with synchronous primaries and three cases with metastatic tumors. Several microscopic parameters had additional diagnostic value. The presence of synchronous primaries is not necessarily associated with a poor prognosis, since we had four long‐term survivors. Conclusions Diagnosis of synchronous extrahepatic biliary neoplasms is rarely made preoperatively. However, aggressive resection and careful microscopic examination are essential for the successful management and diagnosis of these special cases. J. Surg. Oncol. 1997;65:258–262. © 1997 Wiley‐Liss, Inc.

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“…Of these, 7 patients had multiple carcinoma in the gallbladder and extrahepatic bile ducts (0.05%). On review of the literature, we found only 24 reported cases (including ours) of multiple primary carcinomas in the gallbladder and extrahepatic bile ducts without an associated pancreaticobiliary maljunction (Table 1). The mean age of the 24 reported patients was 71.1 years, and the male: female ratio was 8:15 (one unknown).…”

Section: Discussionmentioning

confidence: 88%

Multiple bile duct cancers presenting 3 years after resection of early gallbladder cancer: Case report

Miyakawa

Horiguchi

Hayakawa

et al. 1994

J Hep Bil Pancr Surg

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Abstract:A 76-year-old woman underwent combined resection of the gallbladder plus partial hepatectomy for early gallbladder cancer. From the pathology results, the surgical treatment was deemed to have been curative. However, 3 years later, the patient was readmitted to the hospital with an elevated carbohydrate antigen (CA) 19-9 level. Percutaneous transhepatic cholangiography demonstrated irregularity of the common hepatic duct and the left intrahepatic bile duct, and percutaneous transhepatic cholangioscopy revealed two separate papillary tumors at these sites. A diagnosis of multiple carcinomas of the bile duct was made and left hepatic lobectomy and resection of the extrahepatic bile duct was performed; reconstruction was carried out with a right hepatico-jejunostomy with Roux-en-Y anastomosis. Microscopic study revealed that both of the lesions were papillary adenocarcinomas, and normal biliary mucosa was confirmed to exist between them.

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A resected case of middle bile duct carcinoma, associated with superficial-spreading type gallbladder carcinoma.

Cited by 3 publications

References 0 publications

Gallbladder Polyps: Epidemiology, Natural History and Management

Gallbladder Polyps: Epidemiology, Natural History and Management

Synchronous primary tumors of the extrahepatic bile duct and gallbladder

Multiple bile duct cancers presenting 3 years after resection of early gallbladder cancer: Case report

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