title: [A case of intraluminal/external irradiation, chemotherapy and T-tube stent treatment for the local recurrence of the postoperative four-year bile duct cancer].
abstract: The patient was a 73-year-old man. In 2001, PPPD was performed. After confirmation of an expanded intrahepatic bile duct and anastomic stenosis in July 2005, PTBD was performed into the B3. Adenocarcinoma was detected with bile cytodiagnosis, and was diagnosed as a recurrence of the left bile-duct anastomotic site. Under the informed consent, chemo-radiotherapy was performed in addition to beam radiotherapy (30 Gy) in September 2005. Then we performed an intracavitary irradiation at 25 Gy. UFT (200 mg) was administered along with the radiation therapies. After that, an internal fistularization due to the T-tube was done. Liver metastasis was confirmed by abdominal CT in 2006. We started administering of GEM (600 mg/body) every other week after the recurrence of the bile duct cancer. The patient had survived for 24 months from the recurrence. We report a good result of the recurrent bile duct cancer treated with combined modality therapy.
authors.affiliation: Dept. of Surgery, Kurume University School of Medicine.
authors.forename: Munehiro
authors.initials: M
authors.lastname: Yoshitomi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Horiuchi
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kawahara
authors.forename: Shinji
authors.initials: S
authors.lastname: Uchida
authors.forename: Tohru
authors.initials: T
authors.lastname: Hisaka
authors.forename: Takenori
authors.initials: T
authors.lastname: Sakai
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Maruyama
authors.forename: Hisafumi
authors.initials: H
authors.lastname: Kinoshita
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001650:Bile Duct Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy* / Q000532:radiotherapy*; D015607:Stents; D013997:Time Factors
chemical_list: D000970:Antineoplastic Agents