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Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 1, Issue 4, pp 419–423 | Cite as

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

  • Shuichi Miyakawa
  • Akihiko Horiguchi
  • Makoto Hayakawa
  • Kenji Mizuno
  • Shin Ishihara
  • Kaoru Miura
  • Yuji Horiguchi
  • Hideo Imai
  • Madoka Itoh
Case Report of Interest

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.

Key words

multiple primary cancers gallbladder cancer multiple bile duct cancers cholangiocarcioma 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Shuichi Miyakawa
    • 1
  • Akihiko Horiguchi
    • 1
  • Makoto Hayakawa
    • 1
  • Kenji Mizuno
    • 1
  • Shin Ishihara
    • 1
  • Kaoru Miura
    • 1
  • Yuji Horiguchi
    • 2
  • Hideo Imai
    • 2
  • Madoka Itoh
    • 2
  1. 1.Second Department of Gastroenterological SurgeryFujita Health University School of MedicineToyoakeJapan
  2. 2.Department of GastroenterologyFujita Health University School of MedicineToyoakeJapan

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