Primary Bile Duct Cystadenocarcinoma with Direct Invasion to the Gastric Wall

Kenji TANAKA; Toru YASUTAKE; Shigekazu HIDAKA; Hiroaki TAKESHITA; Shin-ichi SHIBASAKI; Takashi TSUJI; Atsushi NANASHIMA; Terumitsu SAWAI; Hiroyuki YAMAGUCHI; Kazufumi YAMASAKI; Tohru NAKAGOE; Takeshi NAGAYASU

doi:10.11343/amn.49.59

CASE REPORTS

Primary Bile Duct Cystadenocarcinoma with Direct Invasion to the Gastric Wall

Kenji TANAKA, Toru YASUTAKE, Shigekazu HIDAKA, Hiroaki TAKESHITA, Shin-ichi SHIBASAKI, Takashi TSUJI, Atsushi NANASHIMA, Terumitsu SAWAI, Hiroyuki YAMAGUCHI, Kazufumi YAMASAKI, Tohru NAKAGOE, Takeshi NAGAYASU

Author information

Kenji TANAKA
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Toru YASUTAKE
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Shigekazu HIDAKA
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Hiroaki TAKESHITA
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Shin-ichi SHIBASAKI
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Takashi TSUJI
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Atsushi NANASHIMA
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Terumitsu SAWAI
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Hiroyuki YAMAGUCHI
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Kazufumi YAMASAKI
Nagasaki Municipal Medical Center
Tohru NAKAGOE
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
Takeshi NAGAYASU
Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences

Keywords: Depth of tumor invasion, Clinical findings, Gastric cancer

JOURNAL FREE ACCESS

2004 Volume 49 Issue 1+2 Pages 59-62

DOI https://doi.org/10.11343/amn.49.59

Details

Abstract

Bile duct cystadenocarcinomas are rare cystic neoplasms of the liver. A 70-year-old woman with a cystadenocarcinoma with the invasion to the stomach as a submucosal tumor is presented. There were unrepresentative findings in a pre-operative examination, and it was difficult to distinguish whether this cystic tumor was malignant or benign. The tumor in the stomach was diagnosed as submucosal prior to operation, but was revealed as an invasive tumor from a bile duct cystadenocarcinoma in a left lobe of the liver during surgery. As it metastasized to the stomach and spread intraductally, a left lobectomy was performed. The operation was noncurative but the patient has been alive for 19 months since.

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