Resection of liver metastasis from extrahepatic bile duct carcinoma previously treated by pancreatoduodenectomy.
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.
Sasaki
Ryoko
R
Department of Surgery I, Iwate Medical University School of Medicine, Morioka, Japan. rsasaki@iwate-med.ac.jp
Takeda
Yuichiro
Y
Hoshikawa
Koichi
K
Takahashi
Masahiro
M
Funato
Osamu
O
Nitta
Hiroyuki
H
Murakami
Masahiko
M
Kawamura
Hidenobu
H
Suto
Takayuki
T
Uesugi
Noriyuki
N
Sugai
Tamotsu
T
Nakamura
Shin-ichi
S
Kanno
Senji
S
Saito
Kazuyoshi
K
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