Double cancers of the gallbladder and bile duct associated with anomalous choledochopancreatic duct junction

Nakao, Atsunori; Sakagami, K; Uda, Masashi; Mitsuoka, Shintaro

doi:10.1007/bf01213306

Cited by 14 publications

(16 citation statements)

References 4 publications

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“…[13][14][15][16][17][18][19][20][21][22] (Note that the form of choledochal dilatation shown in Table 1 is according to Todani et al 23 ). The present patient represents the first reported case of triple carcinomas of the biliary tract, including lesions in the bile duct.…”

Section: Discussionmentioning

confidence: 99%

Triple carcinomas of the biliary tract associated with congenital choledochal dilatation and pancreaticobiliary maljunction

Okamura¹,

Hayakawa²,

Kuze³

et al. 2000

Journal of Gastroenterology

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We report a rare case of triple carcinomas of the biliary tract associated with congenital choledochal dilatation (CCD) and pancreaticobiliary maljunction (PBM). The patient was a 58-year-old Japanese man who complained of epigastralgia. Ultrasonography and computed tomography revealed an elevated lesion inside the markedly dilated extrahepatic bile duct, thickening of the gallbladder wall, and small polypoid lesions in the gallbladder. Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography showed CCD and PBM. With a diagnosis of carcinoma of the bile duct and cholesterol polyps in the gallbladder, pylorus-preserving pancreaticoduodenectomy was performed. The resected specimen showed two elevated lesions in the dilated bile duct, cholesterol polyps, and an area of irregular mucosa in the gallbladder. Histopathological examination showed two carcinomas in the bile duct, an adenosquamous cell carcinoma, and a moderately differentiated tubular adenocarcinoma, and a well differentiated tubular adenocarcinoma of the gallbladder. Two years and 6 months after the operation, a solitary metastatic liver tumor was detected. Left hepatic lobectomy was performed. At present, 7 months after the second operation, the patient is doing well with no signs of recurrence. Multiple carcinomas in the biliary tract associated with CCD and PBM, including the details in the present patient, were reviewed.

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Section: Discussionmentioning

confidence: 99%

Triple carcinomas of the biliary tract associated with congenital choledochal dilatation and pancreaticobiliary maljunction

Okamura¹,

Hayakawa²,

Kuze³

et al. 2000

Journal of Gastroenterology

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“…Of note, Tokiwa et al demonstrated that epithelial hyperplasia of the gallbladder was observed in children with anomalous arrangement of the pancreaticobiliary duct, implicating this condition in the carcinogenesis of these patients. Table 1 summarizes the 17 previously reported cases of double cancer of the biliary tract associated with PBM, based on MEDLINE search results between 1984 and 2004 . The gallbladder and the bile duct were the most common sites of double cancer reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Table 1 summarizes the 17 previously reported cases of double cancer of the biliary tract associated with PBM, based on MEDLINE search results between 1984 and 2004. [14][15][16] The gallbladder and the bile duct were the most common sites of double cancer reported in the literature. Also, Uetsuji et al 17 note the significance of a low junction of the cystic duct (LJCD) as another anatomical variation which may have an association with biliary tract neoplasms.…”

Section: Discussionmentioning

confidence: 99%

Double cancer of the cystic duct and gallbladder associated with low junction of the cystic duct

Itoh

Fuji

Taniguchi

et al. 2008

J Hepatobiliary Pancreat Surg

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We report a case of double cancer of the cystic duct and gallbladder associated with low junction of the cystic duct. A 73-year-old woman was admitted to the hospital complaining of upper abdominal pain. Endoscopic retrograde cholangiography showed a stenotic lesion in the lower common bile duct and no visualization of the cystic duct or gallbladder. Enhanced computed tomography revealed a heterogeneously enhanced tumorous lesion around the lower bile duct in the pancreatic head. A diagnosis of cancer arising from the cystic duct that entered the lower part of the common hepatic duct was made by intraductal ultrasonography, which showed an intraluminal protruding lesion in the cystic duct. Isolated gallbladder cancer was also diagnosed, by abdominal computed tomography. She underwent pancreaticoduodenectomy with dissection of regional lymph nodes. Histological examination revealed moderately differentiated adenocarcinoma of the cystic duct and well-differentiated adenocarcinoma of the gallbladder. Double cancer of the cystic duct and gallbladder is extremely rare, and this case also suggests a relationship between a low junction of the cystic duct and neoplasm in the biliary tract.

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“…inflammatory, malignant, or obstructive. 1,2 We report a case of spontaneous urinary ascites after upper abdominal surgery.…”

Section: Case Reportmentioning

confidence: 98%

“…Synchronous or metachronous cancers in the biliary system are often attributed to an abnormal pancreaticobiliary junction (APBJ), as a result of persistent reflux of pancreatic juice with subsequent biliary inflammation. [1][2][3][4] However, it is very rare for gallbladder and pancreatic neoplasms to co-exist; in fact, only three previous reports mention this association. [5][6][7] We report a case of a young woman with synchronous cancers in the gallbladder and pancreas.…”

Section: Introductionmentioning

confidence: 99%

Synchronous adenocarcinoma of the gall bladder and pancreas in a young woman

Agarwal

Kumar²,

Sharma³

2013

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Double cancers of the gallbladder and bile duct associated with anomalous choledochopancreatic duct junction

Cited by 14 publications

References 4 publications

Triple carcinomas of the biliary tract associated with congenital choledochal dilatation and pancreaticobiliary maljunction

Triple carcinomas of the biliary tract associated with congenital choledochal dilatation and pancreaticobiliary maljunction

Double cancer of the cystic duct and gallbladder associated with low junction of the cystic duct

Synchronous adenocarcinoma of the gall bladder and pancreas in a young woman

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