title: [A long-term survival case of biliary tract cancer treated with multimodality therapy].
abstract: A 64-year-old man with obstructive jaundice underwent percutaneous transhepatic biliary drainage, and bile cytology diagnosed adenocarcinoma. The operation ended with exploratory laparotomy because of severe cirrhosis, and thus, S-1 therapy was started after radiation therapy (50 Gy) with an endoscopic retrograde biliary drainage (ERBD) tube. After 37 months, an abdominal computed tomography(CT) scan detected dilation of the intrahepatic biliary tract without recurrence, and we therefore detained a biliary expandable metallic stent instead of the causal obstruction of the ERBD tube. Subsequent CT scan and upper gastrointestinal endoscopy detected stenosis and a thickened wall of the duodenum because of recurrence, and thus, we detained a duodenal stent and started gemcitabine therapy. The patient is alive 70 months after the initial consultation. We report herein a long-term survival case of biliary tract cancer treated with multimodality therapy.
authors.affiliation: Dept. of Surgery, Suita Municipal Hospital, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Murakami
authors.forename: Takahiko
authors.initials: T
authors.lastname: Nishigaki
authors.forename: Ryo
authors.initials: R
authors.lastname: Kato
authors.forename: Syunichiro
authors.initials: S
authors.lastname: Makino
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Owada
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Okada
authors.forename: Tetsu
authors.initials: T
authors.lastname: Yanagisawa
authors.forename: Syu
authors.initials: S
authors.lastname: Okamura
authors.forename: Chikara
authors.initials: C
authors.lastname: Ebisui
authors.forename: Kohei
authors.initials: K
authors.lastname: Murata
authors.forename: Hideoki
authors.initials: H
authors.lastname: Yokouchi
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Katsuno
authors.forename: Koji
authors.initials: K
authors.lastname: Nagaike
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Inoue
authors.forename: Masamitsu
authors.initials: M
authors.lastname: Tamai
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Kinuta
mesh_terms: D001661:Biliary Tract Neoplasms / Q000150:complications / Q000628:therapy*; D003131:Combined Modality Therapy; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D013997:Time Factors