title: A case of carcinoma associated with the remained intrapancreatic biliary tract 17 years after the primary excision of a choledochal cyst.
abstract: Although the incidence of biliary carcinoma associated with choledochal cyst is high, there are extremely rare reports about cancer development in the remaining intrapancreatic biliary tract in patients who underwent primary excision of the choledochal cyst. The authors present a case of carcinoma associated with the remnant intrapancreatic biliary tract in a 39 year-old woman, 17 years after the initial excision of a choledochal cyst with Roux-en-Y hepaticojejunostomy. Long-term follow-up may be recommended even in patients who have undergone excisional surgery for choledochal cyst, because it is possible that cancer associated with the intrapancreatic biliary tract may develop.
authors.affiliation: 1st Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Fujisaki
authors.forename: T
authors.initials: T
authors.lastname: Akiyama
authors.forename: H
authors.initials: H
authors.lastname: Miyake
authors.forename: S
authors.initials: S
authors.lastname: Amano
authors.forename: R
authors.initials: R
authors.lastname: Tomita
authors.forename: M
authors.initials: M
authors.lastname: Fukuzawa
authors.forename: H
authors.initials: H
authors.lastname: Yamagami
authors.forename: K
authors.initials: K
authors.lastname: Tsubaki
authors.forename: Y
authors.initials: Y
authors.lastname: Arakawa
authors.forename: S
authors.initials: S
authors.lastname: Aleemuzzaman
authors.forename: N
authors.initials: N
authors.lastname: Nemoto
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D000328:Adult; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D000713:Anastomosis, Roux-en-Y; D015529:Choledochal Cyst / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007582:Jejunostomy; D009361:Neoplasm Invasiveness; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D011169:Portal Vein / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012086:Reoperation