Hepatobiliary and pancreatic: A case of stone‐like carcinosarcoma of the common bile duct

Xie, J M; Li, W; Chen, W

doi:10.1111/jgh.14967

Cited by 4 publications

(3 citation statements)

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“…Through literature review, we found only 12 case reports (Table 1 ). Through these 12 cases[ 1 , 5 , 9 - 18 ], we found that the prevalence is consistent between male and female. Among them, 9 patients were more than 70 years old.…”

Section: Discussionmentioning

confidence: 86%

“…A recent report from China described the case of cholangiocarcinoma sarcoma who had been initially diagnosed with bile duct stones by B-ultrasound and had undergone a biliary stent implantation after failed ERCP lithotripsy[ 1 ]. During the subsequent laparoscopic choledochotomy, blood vessels were observed at the root of the stone, which prompted further investigation by narrow band imaging (NBI); histological staining confirmed the presence of blood vessels, supporting the possibility that the stone-like mass could actually be a tumor.…”

Section: Discussionmentioning

confidence: 99%

“…Carcinosarcomas of the common bile duct (CBD) are an extremely rare finding in the clinical setting, as they are mixture of carcinoma and sarcoma. Polypoid growth and ossification in the tumor could be representative features of carcinosarcomas of the extrahepatic bile duct[ 1 ]. For the case discussed herein, the patient’s clinical presentation suggested recurrent cholangitis, and the follow-up examination showed no obvious ossification.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Carcinosarcoma of common bile duct: A case report

Yao¹,

Xiang²,

Liu³

et al. 2023

World J Gastrointest Oncol

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BACKGROUND Carcinosarcomas of the common bile duct (CBD) are an extremely rare finding in the clinical setting. Based on a review of 12 literatures, 3 cases had the imaging features of ossification. Carcinosarcomas are prone to distant metastasis, as they possess clinical features of both carcinoma and sarcoma, and generally have with a poor prognosis. Due to the small number of cases reported, clinical experience in the diagnosis and treatment of the disease is lacking. CASE SUMMARY The patient was a 75-year-old woman who had experienced recurrent chills with nausea and vomiting for 3 mo. Computed tomography, magnetic resonance imaging, endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography led to the diagnosis of malignant tumor of the CBD. The patient ultimately underwent cholecystectomy, CBD resection, and choledochojejunostomy. Postoperative pathological examination revealed carcinosarcoma of the CBD, and the latest follow-up showed that the patient is recovering well. Based on previous case reports, some carcinosarcoma has ossification characteristics in imaging. If it is misdiagnosed as biliary calculi, the use of laser lithotripsy in surgery may lead to tumor diffusion. Choledochoscopy and narrow band staining of mucosa are very important for diagnosis. CONCLUSION We herein present a rare case of carcinosarcomas of the CBD, we found the tumours may have imaging features of polypoid growth and ossification only when the sarcomal components are bone differentiation, while show soft tissue shadow when non bone differentiation. Confirmation of diagnosis depends greatly upon postoperative pathological examination and the adjuvant treatment has not been established, which leads to the poor prognosis.

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