[A case of postoperative liver metastasis from bile duct carcinoma responding to transarterial chemoembolization].
A 77-year-old man underwent pylorus-preserving pancreatoduodenectomy for bile duct carcinoma in October 2000. Histological diagnosis was moderately-differentiated tubular adenocarcinoma, pT 2 (ss, pHinf 0, pPanc 1, pPV 0, pA 0), pN 0, and final Stage II. The patient was periodically observed after operation. In September 2003, follow-up abdominal CT examinations revealed a liver tumor, 89 x 62 x 60 mm in size, at the anterior segment. Transarterial chemoembolization with 5-FU, epirubicin, mitomycin C and superabsorbent polymer microsphere was initiated under the diagnosis of liver metastasis. After completion of 4 chemoembolizations, the tumor responded partially and diminished to 50 x 16 x 14 mm in CT and superparamagnetic iron oxide-enhanced MRI. Currently, the patient is free from any signs of relapse.
Dept. of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital.
Tsunekazu
T
Mizushima
Takashi
T
Sugiura
Shinichi
S
Hori
Toshikazu
T
Ito
Hitoshi
H
Mizuno
Masanori
M
Hoki
Yoshihito
Y
Souma
Satoshi
S
Kainuma
Hiroaki
H
Yamanaka
Hideto
H
Ozawa
Takashi
T
Kanou
Yasuhiro
Y
Nakamori
Kazuhiro
K
Iwase
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D001650:Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery*; D016461:Chemoembolization, Therapeutic; D004334:Drug Administration Schedule; D015251:Epirubicin / Q000008:administration & dosage; D005472:Fluorouracil / Q000008:administration & dosage; D006499:Hepatic Artery; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy*; D008297:Male; D008863:Microspheres; D016685:Mitomycin / Q000008:administration & dosage; D011108:Polymers; D011184:Postoperative Period; D012074:Remission Induction
D011108:Polymers; D015251:Epirubicin; D016685:Mitomycin; D005472:Fluorouracil