title: Metachronous biliary carcinoma with intraductal pancreatic adenocarcinoma 13 years after curative resection of hilar bile duct cancer.
abstract: We report a case of a 68-year-old woman with metachronous bile duct cancer and a pancreatic adenocarcinoma. She had undergone extended left hepatic lobectomy for hilar bile duct carcinoma. However, when she was admitted to our hospital 13 years later for an annual follow-up, abdominal CT revealed a mass in the dilated remnant of her lower bile duct. This was diagnosed as a second primary tumour, a pancreaticoduodenectomy was performed and 15 months after the second operation, she remains recurrence-free. Nineteen cases of patients with metachronous bile duct carcinomas were identified in the literature and have been reviewed.
authors.affiliation: Department of Surgery, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan.
authors.forename: Hisatsugu
authors.initials: H
authors.lastname: Maekawa
authors.forename: Takahisa
authors.initials: T
authors.lastname: Fujikawa
authors.forename: Akira
authors.initials: A
authors.lastname: Tanaka
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016609:Neoplasms, Second Primary / Q000175:diagnosis*; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D011859:Radiography