A Metachronous Gastric Metastasis from Intrahepatic Cholangiocarcinoma

We report a case of a 68-year-old woman, who underwent extended right hepatectomy with extrahepatic bile duct resection for intrahepatic cholangiocarcinoma (ICC). Histopathological examination showed a mass-forming type of ICC and no lymph node metastasis. Adjuvant chemotherapy with gemcitabine and...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 2014/10/01, Vol.47(10), pp.571-579
Hauptverfasser: Yanagibashi, Hiroo, Kainuma, Osamu, Yamamoto, Hiroshi, Takiguchi, Nobuhiro, Nabeya, Yoshihiro, Souda, Hiroaki, Cho, Akihiro, Ikeda, Atsushi, Arimitsu, Hidehito, Itami, Makiko
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container_end_page 579
container_issue 10
container_start_page 571
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 47
creator Yanagibashi, Hiroo
Kainuma, Osamu
Yamamoto, Hiroshi
Takiguchi, Nobuhiro
Nabeya, Yoshihiro
Souda, Hiroaki
Cho, Akihiro
Ikeda, Atsushi
Arimitsu, Hidehito
Itami, Makiko
description We report a case of a 68-year-old woman, who underwent extended right hepatectomy with extrahepatic bile duct resection for intrahepatic cholangiocarcinoma (ICC). Histopathological examination showed a mass-forming type of ICC and no lymph node metastasis. Adjuvant chemotherapy with gemcitabine and cisplatin was performed for 6 months after operation, and S-1 was administered intermittently from 11 months after operation, because the serum CA19-9 level was elevated without imaging evidence of recurrence. She presented with nausea and vomiting 32 months after operation. Upper gastrointestinal endoscopy showed pyloric stenosis. Enhanced CT showed a circumferential submucosal thickening of the pyloric wall. Distal gastrectomy was performed, and we considered a diagnosis of gastric cancer or metastatic gastric cancer from ICC. Histological findings of the gastric lesion were compatible with metastasis of ICC. Immunohistochemical staining of CK19 and CA19-9 were positive in both the primary and metastatic lesions. To the best of our knowledge, this is the first case of metachronous gastric metastasis from ICC.
doi_str_mv 10.5833/jjgs.2013.0167
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source J-STAGE Free; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects intrahepatic cholangiocarcinoma
metastatic gastric cancer
pyloric stenosis
title A Metachronous Gastric Metastasis from Intrahepatic Cholangiocarcinoma
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