Synchronous carcinoma of the gall-bladder in patients with bile duct carcinoma.
One hundred and twenty-four patients with bile duct carcinoma treated during 16 years were analysed retrospectively for multiple biliary tract carcinoma. Sixty-two cases had undergone a cholecystectomy either as part of a pancreaticoduodenectomy or a bile duct resection or as part of an internal drainage procedure. Three (5%) were found to have an incidental separate carcinoma of the gall-bladder. The discontinuity between the two sites of cancer was histologically confirmed. Clinical concern was that approximately 5% of patients with bile duct carcinoma had a synchronous carcinoma of the gall-bladder. Thus, careful examination of the entire biliary tract including the gall-bladder is necessary at the time of curative surgery for bile duct carcinoma.
Department of Surgery 1, Kyushu University Faculty of Medicine, Fukuoka, Japan.
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Chijiiwa
D000230:Adenocarcinoma / Q000378:metabolism*; D000368:Aged; D001650:Bile Duct Neoplasms / Q000473:pathology*; D005260:Female; D005706:Gallbladder Neoplasms / Q000378:metabolism*; D006801:Humans; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary