Metastatic Common Bile Duct Cancer from Pulmonary Adenocarcinoma Presenting as Obstructive Jaundice.
- Author:
In Hye CHA
1
;
Jin Nam KIM
;
You Sun KIM
;
Soo Hyung RYU
;
Jeong Seop MOON
;
Hye Kyung LEE
Author Information
- Publication Type:Case Reports
- Keywords: Common bile duct neoplasms; Neoplasm metastasis; Lung adenocarcinoma; Obstructive jaundice; TTF-1
- MeSH: Adenocarcinoma/*diagnosis/pathology/radiography; Aged; Brain Neoplasms/radiography/secondary; Bronchoscopy; Cholangiopancreatography, Endoscopic Retrograde; Common Bile Duct Neoplasms/*diagnosis/secondary; DNA-Binding Proteins/metabolism; Humans; Immunohistochemistry; Jaundice, Obstructive/*etiology; Lung Neoplasms/*diagnosis/pathology/radiography; Male; Positron-Emission Tomography; Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology 2013;61(1):50-53
- CountryRepublic of Korea
- Language:English
- Abstract: We report an extremely rare case of metastatic common bile duct cancer from pulmonary adenocarcinoma presenting as obstructive jaundice. The patient was a 76-year-old male, who presented with generalized weakness and right upper quadrant pain. Plain chest X-ray noted multiple small nodules in both lung fields. Abdominal computed tomography scan showed a stricture of the mid common bile duct along with ductal wall enhancement. Endoscopic retrograde cholangiography revealed a concentric, abrupt narrowing of the mid-common bile duct suggestive of primary bile duct cancer. However, pathology comfirmed metastatic common bile duct cancer arising from pulmonary adenocarcinoma with immunohistochemical study with thyroid transcriptional factor-1 (TTF-1).
