A case of carcinoma arising in the intrapancreatic terminal choledochus 12 years after primary excision of a giant choledochal cyst.
A 27-yr-old woman with carcinoma developing in the intrapancreatic terminal choledochus 12 yr after the initial excision of giant choledochal cyst with Roux-en-Y hepaticojejunostomy is reported. Despite the generally accepted concept that the presence of bile is associated with malignancy in the remnant biliary ducts after excision of a choledochal cyst, this is the first report of a malignant growth developing in the terminal choledochus which had been free from the bile exposure long after the excision of the choledochal cyst. Long-term follow-up of the patient is advisable even after operation for primary resection of the choledochal cyst.
Yoshikawa
K
K
Yoshida
K
K
Shirai
Y
Y
Sato
N
N
Kashima
Y
Y
Coutinho
D S
DS
Koyama
S
S
Muto
T
T
Yamagiwa
I
I
Iwafuchi
M
M
D000328:Adult; D003137:Common Bile Duct Diseases / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D003560:Cysts / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D010179:Pancreas / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013997:Time Factors