Anicteric early bile duct carcinoma detection with magnetic resonance cholangiopancreatography.
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.
Oshikiri
Taro
T
Department of Surgery, Hokkaido Gastroenterology Hospital, Hokkaido University School of Medicine, Sapporo, Japan. tarotaro@yf7.so-net.ne.jp
Morita
Takayuki
T
Fujita
Miyoshi
M
Miyasaka
Yuji
Y
Senmaru
Naoto
N
Yamada
Hidehisa
H
Kondo
Satoshi
S
Katoh
Hiroyuki
H
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