A Case of Primary Carcinoma of the Cystic Duct

A 56-year-old man was admitted to our hospital because of epigastric pain. Percutaneous transhepatic cholangiography showed a narrowing of the choledochus, and peroral transpapillary cholangioscopy demonstrated an irregular lesion at the entry site of the cystic duct. Cholecystectomy and resection o...

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Bibliographic Details
Published inNippon Shokaki Geka Gakkai zasshi Vol. 33; no. 1; pp. 80 - 84
Main Authors Hiroyoshi, Motoki, Nagata, Yutaka, Ogino, Kazunori, Kikkawa, Keizou, Moritomo, Hitoshi, Kitagawa, Tetsushi, Ogawa, Hiroshi, Yamamoto, Hideaki, Watahiki, Hajime
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 2000
Subjects
primary carcinoma of the cystic duct
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Summary:A 56-year-old man was admitted to our hospital because of epigastric pain. Percutaneous transhepatic cholangiography showed a narrowing of the choledochus, and peroral transpapillary cholangioscopy demonstrated an irregular lesion at the entry site of the cystic duct. Cholecystectomy and resection of the bile duct were performed with cleaning of the regional lymph nodes. Tumor measuring 15 mm was found in the cystic duct. Microscopic examination demonstrated moderately differentiated tubular adenocarcinoma without metastasis to the regional lymph nodes. The depth of tumor invasion was limited to the subserosal layer. Out of fifty-seven cases in the Japanese literature, including the present case, only seventeen cases were diagnosed as primary carcinoma of the cystic duct preoperatively.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.33.80