[A case of unresectable hilar cholangiocarcinoma treated with an insertion of biliary stent and herbal medicine obtaining a good quality of life].
An advanced hilar cholangiocarcinoma was poor in prognosis and required a biliary duct drainage tube insertion to prevent jaundice. An endoscopically placed metallic biliary stent is efficient for improving QOL of patients with the disease. This case was of a 65-year-old man. He was admitted to our hospital with obstructive jaundice. Hilar cholangiocarcinoma was diagnosed by computed tomography (CT) and MR cholangiopancreatography (MRCP). Abdominal angiography revealed an unresectable cholangiocarcinoma through the portal vein obstruction and stenosis of the left hepatic artery for tumor invasion. After a second opinion and informed consent, he was inserted a biliary stent (non-covered metallic stent) under an endoscopy. The jaundice was improved further and other laboratory data showed normal results except for tumor markers. After the patient left the hospital, he came to our hospital as an outpatient basis for observation. He was prescribed herbal medicine from the other hospital. Now after ten months since the biliary stent insertion, he has been free from symptoms with normal laboratory data.
Ami
Katsunori
K
Division of Surgery, Tokyo Metropolitan Toshima Hospital.
Ohbu
Masahide
M
Nagahama
Takeshi
T
Nakamura
Yukiko
Y
Ohta
Shunsuke
S
Taira
Masahiro
M
Ganno
Hideaki
H
Ito
Tetsushi
T
Andou
Masayuki
M
D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000628:therapy*; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000175:diagnosis / Q000628:therapy*; D049448:Cholangiopancreatography, Magnetic Resonance; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011788:Quality of Life; D015607:Stents; D014057:Tomography, X-Ray Computed
D004365:Drugs, Chinese Herbal