| Abstract | A 73-year-old man is presented with jaundice. Dynamic CT showed a papillary mass in the common bile duct. Percutaneous transhepatic cholangiography revealed a filling defect in the middle common bile duct. Poorly differentiated adenocarcinoma was demonstrated from a papillary mass in the common bile duct by biopsy specimens obtained under p. ercutaneous transhepatic cholangioscopy. Based on these findings, upper to middle bile duct cancer was diagnosed. An unresectable tumor was defined by involving the main portal vein and common hepatic artery at surgical exploration. A non-covered expandable metallic stent was placed 8 days after the operation. However, since contrast radiography showed tumor protrusion in the stent next day after the insertion, a covered stent was placed. Stent obstruction did not occur, and the patient was discharged from the hospital with a good quality of life. A covered stent can be more potentially and clinically effective than a non-covered stent especially for a papillary tumor in the bile duct. |
| Authors | Seiki Miura, Atsushi Kato, Fumio Kimura, Hiroaki Shimizu, Hiroyuki Yoshidome, Masayuki Otsuka, Hideyuki Yoshitomi, Satoshi Nozawa, Katsuno Furukawa, Noboru Mitsuhashi, Dan Takeuchi, Kosuke Suda, Isaku Yoshioka, Masaru Miyazaki
(Affiliation: Dept. of General Surgery, Graduate School of Medicine, Chiba University.)
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| Journal | Gan to kagaku ryoho. Cancer & chemotherapy
(Gan To Kagaku Ryoho)
Vol. 33
Issue 12
Pg. 1950-2
(Nov 2006)
ISSN: 0385-0684 Japan |
| PMID | 17212156
(Publication Type: Case Reports, English Abstract, Journal Article)
|
| Topics |
- Adenocarcinoma
(radiography, therapy)
- Aged
- Cholangiography
- Common Bile Duct Neoplasms
(radiography, therapy)
- Equipment Design
- Humans
- Jaundice, Obstructive
(etiology, therapy)
- Male
- Quality of Life
- Stents
|
