title: Resection of liver metastasis from extrahepatic bile duct carcinoma previously treated by pancreatoduodenectomy.
abstract: No English report of a 5-year survivor with liver metastasis from periampullary carcinoma has been published to date. Here, we report a 52-year-old woman with liver metastasis previously treated with pylorus-preserving pancreatoduodenectomy for extrahepatic bile duct carcinoma, who underwent hepatectomy and has survived for more than 5 years without recurrence after the procedure. This outcome suggests that hepatic resection is effective for selected patients with liver metastasis from extrahepatic bile duct carcinoma previously treated by pancreatoduodenectomy. When a patient has a solitary metastasis of the liver with no other evidence of recurrence, surgical resection of the liver metastasis should be considered a valid option.
authors.affiliation: Department of Surgery I, Iwate Medical University School of Medicine, Morioka, Japan. rsasaki@iwate-med.ac.jp
authors.forename: Ryoko
authors.initials: R
authors.lastname: Sasaki
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Takeda
authors.forename: Koichi
authors.initials: K
authors.lastname: Hoshikawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Takahashi
authors.forename: Osamu
authors.initials: O
authors.lastname: Funato
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nitta
authors.forename: Masahiko
authors.initials: M
authors.lastname: Murakami
authors.forename: Hidenobu
authors.initials: H
authors.lastname: Kawamura
authors.forename: Takayuki
authors.initials: T
authors.lastname: Suto
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Uesugi
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Sugai
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Nakamura
authors.forename: Senji
authors.initials: S
authors.lastname: Kanno
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Saito
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery*; D001650:Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010179:Pancreas / Q000473:pathology; D016577:Pancreaticoduodenectomy; D014057:Tomography, X-Ray Computed