Report of a Resected Case of Cholangiocellular Carcinoma Originating in the Caudate Lobe.

Akiyama, Morifumi; Mizushima, Yasuhiro; Karasawa, Gakuyo; Denno, Ryuichi

doi:10.5833/jjgs.25.2009

Cited by 4 publications

(3 citation statements)

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“…Papillary adenocarcinoma was found as expected in Case 3. The Scand J Gastroenterol 2000 (12) carcinoma was con ned to the mucosal layer. However, in Case 2, in which adenoma with mild atypia was found histologically to be papillary adenocarcinoma, the carcinoma invaded the subserosal layer.…”

Section: Resultsmentioning

confidence: 99%

Mucin Ball-producing Extrahepatic Bile Duct Carcinoma

Kenjo

Abe²,

Saito³

et al. 2000

Scandinavian Journal of Gastroenterology

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The characteristic features of surgically curable mucin-producing extrahepatic bile duct carcinoma (MPEBC) have not previously been elucidated. Three (6.5%) of 46 patients who underwent surgery in our department for bile duct carcinoma between 1986 and 1997 had MPEBC. Clinicopathological features, diagnostic procedures and operative methods for patients with MPEBC were investigated. Tumors in the bile duct were identified by cholangioscopy combined with cholangiography after removal of mucin balls. Tumors were located close to the hepatic confluence in these patients. Two patients underwent hepatic lobectomy together with caudate lobectomy while the other underwent resection of the hepatic confluence. Absence of residual tumors was confirmed histologically in these patients. All three patients remain alive without evidence of recurrence, 22-54 months after surgery. MPEBC is a curable disease. Accurate localization in the biliary tree is essential and can only be obtained after, i) removal of mucin balls, and ii) extensive diagnostic work-up including cholangiography, cholangioscopy and intraoperative pathological examination.

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Section: Resultsmentioning

confidence: 99%

Mucin Ball-producing Extrahepatic Bile Duct Carcinoma

Kenjo

Abe²,

Saito³

et al. 2000

Scandinavian Journal of Gastroenterology

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“…Makuuchi et al3 reported a left caudate lobectomy performed by a trans‐sternal medial incision, but this method has not been widely used, as the operative procedure was complicated and the tumors were high‐grade malignancies. However, with recent advances in hepatic surgery, tumors originating in the caudate lobe are beginning to be resected aggressively…”

Section: Discussionmentioning

confidence: 99%

Isolated caudate lobectomy by anterior approach for hepatocellular carcinoma originating in the paracaval portion of the caudate lobe

Asahara

Dohi

Hino

et al. 1998

Journal of Hepato-Biliary-Pancreatic Surgery

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We aimed to assess isolated caudate lobectomy by the anterior approach for the treatment of large hepatocellular carcinomas originating in the paracaval portion of the caudate lobe. The surgical procedures consisted of ligation and dissection of the caudate branch of the portal vein and short hepatic veins from the right side of the hepatic hilum; liver resection cranially from the right side of the process portion; ligation and dissection of the short hepatic veins from the left side; hepatic resection between the lateral segment and Spiegel lobe; and, finally, dissection of the liver at the right of the Cantlie line, reaching the tumor in the paracaval portion of the caudate lobe. The important point in this procedure was the appropriate management of the short hepatic veins, the branches of the hepatic vein, and the glisson's vessels of the paracaval portion. The operative times for the three patients reported here were 430, 355, and 575 min, with blood loss of 1100, 1180, and 2000 ml, respectively. The duration of the operation was short and blood loss was minimal; severe complications were not observed. Complete recovery of liver function after this surgery tended to be slow. Early recurrence was observed during long-term follow-up. This procedure is considered to be a safe method, with optimal surgical vision for caudate lobe tumors of a relatively large size. However, adjuvant therapy to prevent recurrence is required.

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“…Cases of MBDC reported in Japan to date in both the Japanese and English literature are summarized4,5,7,9,12,…”

Section: Discussionmentioning

confidence: 99%

Mucin-producing bile duct carcinoma originating at the hepatic hilus

Hirota

Tomioka

Ohshima³

et al. 1997

J Hep Bil Pancr Surg

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We describe a mucin-producing bile duct carcinoma that was resected and analyzed pathologically. Endoscopic retrograde cholangiography disclosed amorphous filling defects in the dilated extrahepatic bile duct, suggesting that a large amount of mucin was excreted from the tumor. An intraductal amorphous filling defect showed shape change at different examination times. Pathology examination revealed a papillary tumor which showed mucus production, in the right hepatic duct. The cut section of the resected specimen showed a protuberant papillary lesion, measuring 14 • 14 mm in diameter, forming a cystic mucous lake within the duct wall. Many cancer cells were also found in the mucous lake, the contents of which were strongly positive for mucin stain. The mucous lake developed laterally and communicated with the peribiliary glands, suggesting that the tumor had originated in these glands.

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Report of a Resected Case of Cholangiocellular Carcinoma Originating in the Caudate Lobe.

Cited by 4 publications

References 0 publications

Mucin Ball-producing Extrahepatic Bile Duct Carcinoma

Mucin Ball-producing Extrahepatic Bile Duct Carcinoma

Isolated caudate lobectomy by anterior approach for hepatocellular carcinoma originating in the paracaval portion of the caudate lobe

Mucin-producing bile duct carcinoma originating at the hepatic hilus

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