Synchronous Double Primary Carcinoma of the Intrahepatic Bile Duct and the Gallbladder.
- Author:
Young Hyun CHOI
1
;
Woo Young KIM
;
Kwang Min LEE
;
Myoung Jin JOO
Author Information
1. Department of Surgery, Presbyterian Medical Center, Jeon-Ju, Korea. medmis@hanmail.net
- Publication Type:Case Report
- Keywords:
Synchronous double primary cancer;
Intrahepatic bile duct;
Gallbladder
- MeSH:
Adenocarcinoma;
Aged;
Bile Ducts, Intrahepatic*;
Cholecystectomy;
Cystic Duct;
Dilatation;
Gallbladder*;
Hepatic Duct, Common;
Humans;
Laparotomy;
Liver;
Liver Function Tests;
Lymph Nodes;
Male;
Protestantism;
Ultrasonography
- From:Journal of the Korean Surgical Society
2003;65(6):582-584
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 66-year-old male was admitted to the department of surgery, at the Presbyterian Medical Center due to right upper quadrant pain. Tumor marker studies reported CEA and CA19-9 elevation. Liver function test was normal. Ultrasonography and computed tomography showed a single infiltrative tumor in the left lobe of liver, multiple lymphadenopathies around the common hepatic duct and intrahepatic bile duct dilatation of the left lobe. The gallbladder was nonspecific. During laparotomy, we found an ill-marginated and infiltrative tumor in the left lobe of liver, multiple enlarged lymph nodes around the common hepatic duct and cystic duct, and mild thickening of the gallbladder fundus wall. Left hepatic lobectomy and cholecystectomy were performed. Pathologic findings revealed that the liver tumor was a moderated differentiated adenocarcinoma with extension to the pericystic and pericommon hepatic lymph nodes and focal adenocarcinoma in situ of gallbladder mucosal wall with clear cystic duct resection margin. We therefore report a rare case of synchronous double primary cancer of the intrahepatic bile duct and gallbladder.
