A case report of disseminated recurrence of inferior bile duct carcinoma in PTCD fistula.
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.
Matsumoto
Atsushi
A
Department of Surgery, Kurume University Medical Center, Kurume 839-0863, Japan.
Imamura
Mahiro
M
Akagi
Yoshito
Y
Kaibara
Atsushi
A
Ohkita
Akira
A
Mizobe
Tomoaki
T
Isomoto
Hiroharu
H
Aoyagi
Shigeaki
S
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
D014408:Biomarkers, Tumor