Abstract:
:A 70-year-old man was admitted to our hospital with obstructive jaundice. Computed tomography revealed a tumor in the left intrahepatic bile duct extending to the common bile duct without any significant lesions in the liver. Cholangiography showed a filling defect due to an intraductal tumor. Cytology of the bile juice was negative and tumor markers were carcinoembryonic antigen 5.7 ng/ml, carbohydrate antigen 19-9 49 U/ml, alpha-fetoprotein 9 ng/dl, and PIVKA-II 19 200 AU/ml. With a preoperative diagnosis of hilar bile duct carcinoma, a laparotomy was performed. The common bile duct was filled with a tumor and it extended into the bilateral intrahepatic bile ducts. The intraductal tumor was removed together with the extrahepatic bile ducts. An intraoperative histological examination of the tumor showed a well-differentiated hepatocellular carcinoma. No lesions were detected in the liver by ultrasonography, palpation during the operation, or a computed tomography scan after the operation. At 1 year postoperatively, no recurrence has been seen in this patient.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Makino T,Nakamori S,Kashiwazaki M,Masuda N,Ikenaga M,Hirao M,Fujitani K,Mishima H,Sawamura T,Takeda M,Mano M,Tsujinaka Tdoi
10.1007/s00595-006-3214-9subject
Has Abstractpub_date
2006-01-01 00:00:00pages
633-7issue
7eissn
0941-1291issn
1436-2813journal_volume
36pub_type
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