Intraductal Mucosal Spreading Mucin Secreting Intrahepatic Cholangiocarcinoma.
- Author:
Jong Min KIM
1
;
Dongho CHOI
;
Sung Hoon CHO
;
Jung Hoon KIM
;
So Young JIN
;
Kyung Kyu PARK
;
Yong Seog JANG
;
Jae Joon KIM
;
Min Hyuk LEE
;
Chul MOON
Author Information
1. Department of Surgery, Soonchunhyang University College of Medicine, Korea. dhchoi@hosp.sch.ac.kr
- Publication Type:Case Report
- Keywords:
Intraductal;
Intrahepatic;
Cholangiocarcinoma;
Mucins
- MeSH:
Abdomen;
Adenocarcinoma;
Bile Ducts;
Cholangiocarcinoma*;
Cholangitis;
Diagnosis;
Duodenal Ulcer;
Duodenum;
Hemorrhage;
Hepatectomy;
Humans;
Jaundice;
Ligation;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Mucins*;
Sutures
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2004;8(4):254-257
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Peripheral cholangiocarcinoma refers to an adenocarcinoma arising from the bile ducts peripheral to the secondary confluence. The growth pattern of the peripheral cholangiocarcinoma may be classified into the mass-forming type, the infiltrating type, the intraductal polypoid type and the combined type. Intraductal mucosal spreading, mucin secreting intrahepatic cholangiocarcinoma is a rare subtype of peripheral cholangiocarcinoma. Its existence has been neglected due to its paucity. A 59-year old male who presented with jaundice was admitted to our hospital because of recurrent cholangitis. A MRI of the abdomen showed the dilated intrahepatic duct without mass lesions. Left hepatectomy was done with negative surgical margins. The pathologic diagnosis was intraductal mucinous type cholangiocarcinoma without stromal invasion. Intrahepatic duct stone was found. The postoperative duodenal ulcerous bleeding was treated by suture ligation of the bleeding vessels of the duodenum. The patient discharged 65 days after the operation.
