title: [A case of adenosquamous carcinoma of lower extrahepatic bile duct].
abstract: We report a 83-year-old female with bile duct cancer who underwent subtotal stomach preserving pancreatoduodenectomy. Pathologically, her tumor was diagnosed as adenosquamous carcinoma of the lower extrahepatic bile duct with final stage IVb[pT3pN3M(-)].The prognosis of patients with adenosquamous carcinoma of the bile duct is very poor, and the reason is thought to be its tendency to invade the pancreas.Although she was an aged patient, we performed adjuvant chemotherapy using gemcitabine.No recurrence has occurred until this day, 30 months after the operation.This is thought to be an effect of the adjuvant chemotherapy, considering its poor prognosis.
authors.affiliation: Dept. of Surgery, National Hospital, Iwakuni Clinical Center.
authors.forename: Hideki
authors.initials: H
authors.lastname: Aoki
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanazawa
authors.forename: Yuko
authors.initials: Y
authors.lastname: Fujiwara
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Morihiro
authors.forename: Kiyoto
authors.initials: K
authors.lastname: Takehara
authors.forename: Masayuki
authors.initials: M
authors.lastname: Seita
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Ohara
authors.forename: Takashi
authors.initials: T
authors.lastname: Arata
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Koji
authors.initials: K
authors.lastname: Tanakaya
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takeuchi
mesh_terms: D000369:Aged, 80 and over; D000964:Antimetabolites, Antineoplastic / Q000627:therapeutic use; D001650:Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D017734:Bile Ducts, Extrahepatic / Q000473:pathology* / Q000601:surgery; D018196:Carcinoma, Adenosquamous / Q000473:pathology* / Q000601:surgery; D003131:Combined Modality Therapy; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D012074:Remission Induction; D000093542:Gemcitabine
chemical_list: D000964:Antimetabolites, Antineoplastic; D003841:Deoxycytidine; D000093542:Gemcitabine