title: Superficial spreading type extrahepatic bile duct cancer with lymphatic micrometastasis: report of a case.
abstract: We report herein the case of a 69-year-old woman with extrahepatic bile duct cancer which had developed superficially along the ductal mucosa without penetrating the fibromuscularis. She underwent a pancreatoduodenectomy; however, micrometastases were found histologically in the regional lymph nodes and she died with involved para-aortic lymph nodes and bone metastases 14 months after the operation.
authors.affiliation: Department of Surgery, Kumamoto Rosai Hospital, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Uchino
authors.forename: M
authors.initials: M
authors.lastname: Tanaka
authors.forename: H
authors.initials: H
authors.lastname: Sakaguchi
authors.forename: H
authors.initials: H
authors.lastname: Obayashi
authors.forename: T
authors.initials: T
authors.lastname: Yamaguchi
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D000368:Aged; D001650:Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D017734:Bile Ducts, Extrahepatic; D001859:Bone Neoplasms / Q000556:secondary; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D016577:Pancreaticoduodenectomy