[A biliary endocrine cell carcinoma: a report of two cases].
An endocrine cell carcinoma is a carcinoid tumor that has an especially malignant prognosis. We herein report on 2 cases of a biliary endocrine cell carcinoma. Case 1 involved a 68 year old man manifesting a fever, jaundice, hepatomegaly and a ballooned gallbladder. After decreasing the jaundice by PTCD, an exploratory abdominal operation was performed. As a tumor was found at the papilla of Vater, a pancreaticoduodenectomy was done. Case 2 involved a 72 year old woman who was diagnosed as having a gallbladder tumor and cholelithiasis. She was given a cholecystectomy and a choledocholithotomy. These 2 cases had hepatic metastasis within a year and subsequently died. Procedurally, an endocrine cell carcinoma should be treated separately from classical carcinoid tumors.
Watanuki
A
A
Dept. of Surgery, Ojiya General Hospital.
Yokomori
T
T
Taniguchi
T
T
Iesato
H
H
Takeyoshi
I
I
Kawano
K
K
Tomizawa
N
N
Miyamoto
Y
Y
Emura
I
I
D000368:Aged; D014670:Ampulla of Vater; D001661:Biliary Tract Neoplasms / Q000473:pathology* / Q000601:surgery; D002276:Carcinoid Tumor / Q000150:complications / Q000473:pathology* / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male