title: A case report of disseminated recurrence of inferior bile duct carcinoma in PTCD fistula.
abstract: We report a case of disseminated recurrence of inferior bile duct carcinoma growing in the fistula where the percutaneous transhepatic cholangiodrainage (PTCD) catheter was instituted. The recurrent tumor seemed to be implanted by dissemination of the original tumor during the first surgery. We could successfully remove this recurring tumor with lateral segmentectomy of the liver plus peritoneal dissection. This patient had been followed after the first surgery (pancreaticoduodenectomy) for inferior bile duct carcinoma causing obstructive jaundice. CEA and CA19-9 raised and CT scan confirmed the recurrent tumor in the lateral segment of the liver. This patient has been in good condition for 2 years following the second surgery.
authors.affiliation: Department of Surgery, Kurume University Medical Center, Kurume 839-0863, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Mahiro
authors.initials: M
authors.lastname: Imamura
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Akagi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kaibara
authors.forename: Akira
authors.initials: A
authors.lastname: Ohkita
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Mizobe
authors.forename: Hiroharu
authors.initials: H
authors.lastname: Isomoto
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Aoyagi
mesh_terms: D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D001658:Biliary Fistula / Q000473:pathology*; D014408:Biomarkers, Tumor; D004322:Drainage; D006801:Humans; D008297:Male; D008875:Middle Aged; D055502:Secondary Prevention; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D014408:Biomarkers, Tumor