Intrabiliary metastasis from rectal cancer mimicking peripheral papillary-type cholangiocarcinoma

Abstract

and depth. The relationship between the site characteristics and mean overall quality score were analysed by means of univariate and multiple logistic regression analysis. The probability of an 'insufficient' score was calculated in relation to the above-mentioned variables, with an odds ratio (OR) of . 1 indicating insufficient quality.The overall rating score was sufficient ($ 3) in 51% (95% CI: 38 -65%) of cases. The majority of the sites (73%) were aimed at patients rather than physicians. Commercial sponsorship was significantly more frequent among the CH sites (45%) than among the HH (15%) or CA sites (0%) ðp ¼ 0:002Þ; 61% of the commercial sites did not include a financial disclosure. Results from both univariate and multiple logistic regression analysis are given in the Table 1. Interestingly, at multivariate analysis, the only variable independently related to the poor quality was the presence of commercial sponsorship, with an odds ratio (OR) of 18.1 (95% CI: 1.7-192.5).Overall, these results indicate that the quality of hepatological web sites on the Internet is low and negatively affected by the presence of mainly undeclared commercial interests. Thus, considering that most of these sites are addressed to patients, guidelines for the certification and surveillance of web sites relating to liver diseases are warranted.

Intrabiliary metastases in colorectal cancer: a systematic review

“…In the case reports, the surgical treatment performed ranged from endoscopic resection in one (3.3%) , single bile duct resection without hepatic resection in one (3.3%) ; minor hepatic resections in eight (26.6%) and major hepatic resections in 13 (43.3%) , to hepatic resections combined with pancreatectomies in three (10%) . Palliative treatments performed included biliary prosthesis in four (13.3%) or no treatment in one (3.3%; Table ).…”

“…, and the date of death was not specified in two other cases ). The other 12 patients presented a mean follow‐up of 19 months and were still alive at the time of publication.…”

“…Most CRC metastases are CK7−/CK20+, although 9–16% are CK7−/CK20−, and the biliary epithelium and its tumors are CK7+/CK20− . A possible relationship with laminin 5 has been postulated (Fig. ).…”

Metastatic mucinous adenocarcinoma of the distal common bile duct, from transverse colon cancer presenting as obstructive jaundice

“…Therefore, a cytokeratin 20-positive and cytokeratin 7-negative immunohistochemical staining pattern is a characteristic of biliary metastasis from colorectal cancer. 11 Cytokeratin 19 is normally expressed in the lining of the gastropancreatic and hepatobiliary tracts, which is positive in most adenocarcinomas in the gastrointestinal tract and pancreas. 12 The expression of CDX2 in adults is restricted to the intestine, from the duodenum to the rectum.…”

Differential CT Features of Intraductal Biliary Metastasis and Double Primary Intraductal Polypoid Cholangiocarcinoma in Patients With a History of Extrabiliary Malignancy

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1061have been several reports [4][5][6][7][8][9][10][11][12][13][14][15][16][17] on intraductal metastasis from extrabiliary malignant tumors. According to the previous articles, common primary tumors that metastasize to the bile ducts are those of the lung, breast, gallbladder, colon, testis, prostate, and pancreas and melanoma and lymphoma [18].

There have been sporadic reports [4,5,9,10] on the radiologic findings of intraductal metastasis.

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