title: Anicteric early bile duct carcinoma detection with magnetic resonance cholangiopancreatography.
abstract: The poor prognosis of extrahepatic bile duct carcinoma makes early detection and diagnosis essential for positive patient outcomes. We describe 2 cases of jaundice-free early extrahepatic bile duct carcinoma detected by magnetic resonance cholangiopancreatography. Extrahepatic bile duct carcinoma was discovered incidentally in patient 1 by magnetic resonance cholangiopancreatography during evaluation of a gallbladder stone. In patient 2, extrahepatic bile duct carcinoma was found during a routine health maintenance exam. Both patients underwent radical surgical intervention. Both patient 1 and 2 have remained in good health for over one year, 3.5 and one year, respectively, and have not exhibited any signs or symptoms of relapse or cancer recurrence. Based on these cases, it appears that magnetic resonance cholangiopancreatography can play a significant role in the early detection of extrahepatic bile duct carcinoma and improve disease prognosis.
authors.affiliation: Department of Surgery, Hokkaido Gastroenterology Hospital, Hokkaido University School of Medicine, Sapporo, Japan. tarotaro@yf7.so-net.ne.jp
authors.forename: Taro
authors.initials: T
authors.lastname: Oshikiri
authors.forename: Takayuki
authors.initials: T
authors.lastname: Morita
authors.forename: Miyoshi
authors.initials: M
authors.lastname: Fujita
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyasaka
authors.forename: Naoto
authors.initials: N
authors.lastname: Senmaru
authors.forename: Hidehisa
authors.initials: H
authors.lastname: Yamada
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kondo
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Katoh
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D049448:Cholangiopancreatography, Magnetic Resonance; D042241:Early Diagnosis; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome