Middle bile duct cancer with portal vein tumor thrombus
<p>Abstract</p> <p>Background</p> <p>Tumor thrombus in the portal vein is a common complication of hepatocellular carcinoma, but an extremely rare complication of common bile duct cancer.</p> <p>Case presentation</p> <p>A 78-year-old woman was re...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-05-01
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| Series: | World Journal of Surgical Oncology |
| Online Access: | http://www.wjso.com/content/6/1/48 |
| _version_ | 1811304258685894656 |
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| author | Murakami Koji Fujimori Takahiro Tomita Shigeki Iso Yukihiro Shimoda Mitsugi Sawada Tokihiko Kubota Keiichi |
| author_facet | Murakami Koji Fujimori Takahiro Tomita Shigeki Iso Yukihiro Shimoda Mitsugi Sawada Tokihiko Kubota Keiichi |
| author_sort | Murakami Koji |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Tumor thrombus in the portal vein is a common complication of hepatocellular carcinoma, but an extremely rare complication of common bile duct cancer.</p> <p>Case presentation</p> <p>A 78-year-old woman was referred to our department because of jaundice. Laboratory data showed severe liver dysfunction with high serum levels of total bilirubin and CA19-9. Computed tomography showed lesions in the middle bile duct and main portal vein. FDG PET scan and 3D imaging showed hot spots in the same location as those revealed by CT. Under a diagnosis of middle bile duct cancer with portal vein tumor thrombus, the patient underwent surgery. At laparotomy, the main tumor was found to be located in the middle bile duct with a tumor thrombus, 2 cm in diameter, in the main portal vein. The patient underwent pancreatoduodenectomy with thrombectomy. Histological examination showed that this thrombus had the same histological features as those of the main bile duct cancer (poorly differentiated adenocarcinoma). The postoperative course was uneventful and the patient is doing well without any signs of recurrence 18 months after surgery.</p> <p>Conclusion</p> <p>To our knowledge, this is the first report of successful resection of middle bile duct cancer with portal vein tumor thrombus.</p> |
| first_indexed | 2024-04-13T08:04:05Z |
| format | Article |
| id | doaj.art-d6406ecc98c44593a50bc3d5aa7044be |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-13T08:04:05Z |
| publishDate | 2008-05-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-d6406ecc98c44593a50bc3d5aa7044be2022-12-22T02:55:13ZengBMCWorld Journal of Surgical Oncology1477-78192008-05-01614810.1186/1477-7819-6-48Middle bile duct cancer with portal vein tumor thrombusMurakami KojiFujimori TakahiroTomita ShigekiIso YukihiroShimoda MitsugiSawada TokihikoKubota Keiichi<p>Abstract</p> <p>Background</p> <p>Tumor thrombus in the portal vein is a common complication of hepatocellular carcinoma, but an extremely rare complication of common bile duct cancer.</p> <p>Case presentation</p> <p>A 78-year-old woman was referred to our department because of jaundice. Laboratory data showed severe liver dysfunction with high serum levels of total bilirubin and CA19-9. Computed tomography showed lesions in the middle bile duct and main portal vein. FDG PET scan and 3D imaging showed hot spots in the same location as those revealed by CT. Under a diagnosis of middle bile duct cancer with portal vein tumor thrombus, the patient underwent surgery. At laparotomy, the main tumor was found to be located in the middle bile duct with a tumor thrombus, 2 cm in diameter, in the main portal vein. The patient underwent pancreatoduodenectomy with thrombectomy. Histological examination showed that this thrombus had the same histological features as those of the main bile duct cancer (poorly differentiated adenocarcinoma). The postoperative course was uneventful and the patient is doing well without any signs of recurrence 18 months after surgery.</p> <p>Conclusion</p> <p>To our knowledge, this is the first report of successful resection of middle bile duct cancer with portal vein tumor thrombus.</p>http://www.wjso.com/content/6/1/48 |
| spellingShingle | Murakami Koji Fujimori Takahiro Tomita Shigeki Iso Yukihiro Shimoda Mitsugi Sawada Tokihiko Kubota Keiichi Middle bile duct cancer with portal vein tumor thrombus World Journal of Surgical Oncology |
| title | Middle bile duct cancer with portal vein tumor thrombus |
| title_full | Middle bile duct cancer with portal vein tumor thrombus |
| title_fullStr | Middle bile duct cancer with portal vein tumor thrombus |
| title_full_unstemmed | Middle bile duct cancer with portal vein tumor thrombus |
| title_short | Middle bile duct cancer with portal vein tumor thrombus |
| title_sort | middle bile duct cancer with portal vein tumor thrombus |
| url | http://www.wjso.com/content/6/1/48 |
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