A case of superficial bile duct carcinoma showing extensive intraductal spread without bile duct stenosis, diagnosed by intraductal ultrasonography
We report a case of superficial bile duct carcinoma showing extensive intraductal spread without dilatation of the bile duct in which diagnosis was established preoperatively by transpapillary forceps biopsy and intraductal ultrasonography. A 78-year-old man was given a diagnosis of acute cholecysti...
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| Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2007, Vol.104(2), pp.226-232 |
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| container_issue | 2 |
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| container_title | Nippon Shokakibyo Gakkai Zasshi |
| container_volume | 104 |
| creator | TAKASAWA, Osamu KOBAYASHI, Go NODA, Yutaka ITO, Kei HORAGUCHI, Jun FUJITA, Naotaka KOBARI, Masao |
| description | We report a case of superficial bile duct carcinoma showing extensive intraductal spread without dilatation of the bile duct in which diagnosis was established preoperatively by transpapillary forceps biopsy and intraductal ultrasonography. A 78-year-old man was given a diagnosis of acute cholecystitis, and percutaneous transhepatic gallbladder drainage (PTGBD) was performed. Cholangiography via the PTGBD tube revealed a tiny irregularity in the hilar bile duct. Transpapillary intraductal ultrasonography showed that this irregularity extended from the intrahepatic bile duct to the middle of the bile duct. Bile duct biopsy revealed malignancy, and thus bile duct resection and hepaticojejunostomy were performed. Hisological examination verified a well-differentiated adenocarcinoma confined to the epithelium and the fibromuscular layer. |
| doi_str_mv | 10.11405/nisshoshi.104.226 |
| format | Article |
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A 78-year-old man was given a diagnosis of acute cholecystitis, and percutaneous transhepatic gallbladder drainage (PTGBD) was performed. Cholangiography via the PTGBD tube revealed a tiny irregularity in the hilar bile duct. Transpapillary intraductal ultrasonography showed that this irregularity extended from the intrahepatic bile duct to the middle of the bile duct. Bile duct biopsy revealed malignancy, and thus bile duct resection and hepaticojejunostomy were performed. Hisological examination verified a well-differentiated adenocarcinoma confined to the epithelium and the fibromuscular layer.</description><identifier>ISSN: 0446-6586</identifier><identifier>EISSN: 1349-7693</identifier><identifier>DOI: 10.11405/nisshoshi.104.226</identifier><identifier>PMID: 17283418</identifier><language>jpn</language><publisher>Japan: The Japanese Society of Gastroenterology</publisher><subject>Acute Disease ; Adenocarcinoma - diagnostic imaging ; Adenocarcinoma - surgery ; Aged ; Bile Duct Neoplasms - diagnostic imaging ; Bile Duct Neoplasms - surgery ; Bile Ducts - diagnostic imaging ; Bile Ducts - pathology ; Biopsy ; Cholecystitis - diagnosis ; Drainage ; Gallbladder - surgery ; Hepatectomy ; Humans ; Jejunostomy ; Male ; Ultrasonography</subject><ispartof>Nippon Shokakibyo Gakkai Zasshi, 2007, Vol.104(2), pp.226-232</ispartof><rights>2007 by The Japanese Society of Gastroenterology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17283418$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TAKASAWA, Osamu</creatorcontrib><creatorcontrib>KOBAYASHI, Go</creatorcontrib><creatorcontrib>NODA, Yutaka</creatorcontrib><creatorcontrib>ITO, Kei</creatorcontrib><creatorcontrib>HORAGUCHI, Jun</creatorcontrib><creatorcontrib>FUJITA, Naotaka</creatorcontrib><creatorcontrib>KOBARI, Masao</creatorcontrib><title>A case of superficial bile duct carcinoma showing extensive intraductal spread without bile duct stenosis, diagnosed by intraductal ultrasonography</title><title>Nippon Shokakibyo Gakkai Zasshi</title><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><description>We report a case of superficial bile duct carcinoma showing extensive intraductal spread without dilatation of the bile duct in which diagnosis was established preoperatively by transpapillary forceps biopsy and intraductal ultrasonography. A 78-year-old man was given a diagnosis of acute cholecystitis, and percutaneous transhepatic gallbladder drainage (PTGBD) was performed. Cholangiography via the PTGBD tube revealed a tiny irregularity in the hilar bile duct. Transpapillary intraductal ultrasonography showed that this irregularity extended from the intrahepatic bile duct to the middle of the bile duct. Bile duct biopsy revealed malignancy, and thus bile duct resection and hepaticojejunostomy were performed. Hisological examination verified a well-differentiated adenocarcinoma confined to the epithelium and the fibromuscular layer.</description><subject>Acute Disease</subject><subject>Adenocarcinoma - diagnostic imaging</subject><subject>Adenocarcinoma - surgery</subject><subject>Aged</subject><subject>Bile Duct Neoplasms - diagnostic imaging</subject><subject>Bile Duct Neoplasms - surgery</subject><subject>Bile Ducts - diagnostic imaging</subject><subject>Bile Ducts - pathology</subject><subject>Biopsy</subject><subject>Cholecystitis - diagnosis</subject><subject>Drainage</subject><subject>Gallbladder - surgery</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Jejunostomy</subject><subject>Male</subject><subject>Ultrasonography</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkcFu2zAMhoWhQxN0eYEeBp16mjPJkiX7GARbW6DALtvZkGU6VuBYriivy3PshachadBeSIL8SIL8CbnlbM25ZMXX0SH2Hnu35kyu81x9IEsuZJVpVYkrsmRSqkwVpVqQFaJrGGNVUZVCXJMF13kpJC-X5O-GWoNAfUdxniB0zjoz0MYNQNvZxlQN1o3-YGja9uLGHYU_EUZ0v4G6MQbzn0odOAUwLX1xsfdzfDMAE-3R4RfaOrNLIbS0Ob7rnYcUox_9LpipP34iHzszIKzO_ob8-v7t5_Yhe_px_7jdPGX7nOuYFbk2FZPWVLxittRMFelAKTqtLIgil1LztoFGSlFyVUihilanBOtAm44JcUPuTnOn4J9nwFgfHFoYBjOCn7FWZVXyXKgEfj6Dc3OAtp6CO5hwrF_fmID7E7DHaHZwAUyIzg5QX7Sqk1Z1frZJswthexNqGMU_GsaU4A</recordid><startdate>200702</startdate><enddate>200702</enddate><creator>TAKASAWA, Osamu</creator><creator>KOBAYASHI, Go</creator><creator>NODA, Yutaka</creator><creator>ITO, Kei</creator><creator>HORAGUCHI, Jun</creator><creator>FUJITA, Naotaka</creator><creator>KOBARI, Masao</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200702</creationdate><title>A case of superficial bile duct carcinoma showing extensive intraductal spread without bile duct stenosis, diagnosed by intraductal ultrasonography</title><author>TAKASAWA, Osamu ; KOBAYASHI, Go ; NODA, Yutaka ; ITO, Kei ; HORAGUCHI, Jun ; FUJITA, Naotaka ; KOBARI, Masao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j217t-527a904ca9190c8706595943f76ce3524471dbeb44381654365d7dbe0fe7af033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Adenocarcinoma - diagnostic imaging</topic><topic>Adenocarcinoma - surgery</topic><topic>Aged</topic><topic>Bile Duct Neoplasms - diagnostic imaging</topic><topic>Bile Duct Neoplasms - surgery</topic><topic>Bile Ducts - diagnostic imaging</topic><topic>Bile Ducts - pathology</topic><topic>Biopsy</topic><topic>Cholecystitis - diagnosis</topic><topic>Drainage</topic><topic>Gallbladder - surgery</topic><topic>Hepatectomy</topic><topic>Humans</topic><topic>Jejunostomy</topic><topic>Male</topic><topic>Ultrasonography</topic><toplevel>online_resources</toplevel><creatorcontrib>TAKASAWA, Osamu</creatorcontrib><creatorcontrib>KOBAYASHI, Go</creatorcontrib><creatorcontrib>NODA, Yutaka</creatorcontrib><creatorcontrib>ITO, Kei</creatorcontrib><creatorcontrib>HORAGUCHI, Jun</creatorcontrib><creatorcontrib>FUJITA, Naotaka</creatorcontrib><creatorcontrib>KOBARI, Masao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TAKASAWA, Osamu</au><au>KOBAYASHI, Go</au><au>NODA, Yutaka</au><au>ITO, Kei</au><au>HORAGUCHI, Jun</au><au>FUJITA, Naotaka</au><au>KOBARI, Masao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of superficial bile duct carcinoma showing extensive intraductal spread without bile duct stenosis, diagnosed by intraductal ultrasonography</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2007-02</date><risdate>2007</risdate><volume>104</volume><issue>2</issue><spage>226</spage><epage>232</epage><pages>226-232</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>We report a case of superficial bile duct carcinoma showing extensive intraductal spread without dilatation of the bile duct in which diagnosis was established preoperatively by transpapillary forceps biopsy and intraductal ultrasonography. A 78-year-old man was given a diagnosis of acute cholecystitis, and percutaneous transhepatic gallbladder drainage (PTGBD) was performed. Cholangiography via the PTGBD tube revealed a tiny irregularity in the hilar bile duct. Transpapillary intraductal ultrasonography showed that this irregularity extended from the intrahepatic bile duct to the middle of the bile duct. Bile duct biopsy revealed malignancy, and thus bile duct resection and hepaticojejunostomy were performed. Hisological examination verified a well-differentiated adenocarcinoma confined to the epithelium and the fibromuscular layer.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>17283418</pmid><doi>10.11405/nisshoshi.104.226</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0446-6586 |
| ispartof | Nippon Shokakibyo Gakkai Zasshi, 2007, Vol.104(2), pp.226-232 |
| issn | 0446-6586 1349-7693 |
| language | jpn |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Acute Disease Adenocarcinoma - diagnostic imaging Adenocarcinoma - surgery Aged Bile Duct Neoplasms - diagnostic imaging Bile Duct Neoplasms - surgery Bile Ducts - diagnostic imaging Bile Ducts - pathology Biopsy Cholecystitis - diagnosis Drainage Gallbladder - surgery Hepatectomy Humans Jejunostomy Male Ultrasonography |
| title | A case of superficial bile duct carcinoma showing extensive intraductal spread without bile duct stenosis, diagnosed by intraductal ultrasonography |
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