Long-term survival for 11.5 years after percutaneous transhepatic cholangioscopic microwave tissue coagulation (MTC) in a jaundiced man with bile duct carcinoma and Schnitzlers metastasis due to colon carcinoma

スポンサーリンク

概要

• 論文の詳細を見る

• We previously reported an inoperable jaundiced woman and man with bile duct carcinoma who underwent cholangioscopic MTC and survived longer than 13 and 15 years, respectively. Here, we report another jaundiced patient with bile duct carcinoma with survival longer than 10 years after cholangioscopic and X-ray image-guided MTC.A 56-year-old man was referred to our institution because of right hypochondric pain and constipation with suspected postoperative intestinal stenosis. Three years previously, he had undergone a non-curative resection of carcinoma in the transverse colon, in which both the second group of regional lymph nodes and pelvic tumor were histologically metastatic (Schnitzlers metastasis).Besides abdominal pain, he had bulbar jaundice, increased serum bilirubin and amylase, and leucocytosis. Percutaneous transhepatic cholangial drainage (PTCD) was performed for biliary decompression with improvement of jaundice, followed by fluorographically complete obstruction of the common bile duct (CBD) suggestive of a neoplastic lesion. Percutaneous transhepatic cholangioscopy (PTCS) revealed a papillary tumor in the terminal portion of the CBD, with a histological diagnosis of papillary adenocarcinoma.Given his previous non-curative resection of colon cancer, he did not wish to undergo pancreatoduodenectomy (PD) as radical surgery. Therefore, cholangioscopic and X-ray image-guided MTC using Microtaze® (Heiwa Electronic Industrial Co. Ltd., Osaka Japan), a 1.8 mm φ spherical antenna, and a 5 mm φ bullet-shaped antenna covering a thin guide wire (0.028 inch, Cook Co. Ltd., USA) was carried out under radiation of 45 watts and repetitions of 3-5 seconds in duration.The patient lived for 11.5 years after the onset of pain and jaundice.For malignant neoplasms in the early stage of progression in the bile duct, cholangioscopic methods including MTC may be a treatment option aimed at cure, as are bronchoscopic methods for lung cancer in the early stage of progression.

著者

• Sasaki Mutsuo

  Deparment Of Surgery Hirosaki University

• Fukushima Takashi

  Department Of Applied Chemistry Faculty Of Engineering Kansai University

• Toyoki Yoshikazu

  Department of gastroenterological surgery, Hirosaki University School of Medicine

• UMEHARA Yutaka

  Department of Pathology, Institute of Cerebrovascular Diesease, Hirosaki University School of Medicine

• Tabuse Katsuyoshi

  Depart. of Surg., National Hospital Organization Osaka Minami Medical Center

• Endoh Masaaki

  Depart. of Surg., Aomori City Hosp.

• Ino-u-e Shigeaki

  Department of Surgery, Aomori Prefectural Central Hospital

• Ohsato Masayuki

  Department of Surgery, Hachinohe City Hospital

• Itoh Takao

  Itoh Clinic

• Shida Shoichi

  Kawakami Clinic

• Nakachi Hiromichi

  Ginowann Memorial Hospital

• Seki Toshihito

  The 3rd Department of Internal Medicine, Kannsai Medical University

• Nakadate Toshihiro

  Depart. of Surg., General Mizusawa Hosp.

• Konn Mitsuru

  Emeritus Prof., Hirosaki Univ.

• Ebina Yuuichi

  Depart. of Digestive Surg., Hirosaki Univ.

• Narumi Syunnji

  Depart. of Digestive Surg., Hirosaki Univ.

• Karouji Sinobu

  Depart. of Surg., National Hospital Organization Aomori Hosp.

• Shioya Akira

  Depart. of Surg., National Hospital Organization Aomori Hosp.

• Konn Akihide

  Depart. of Surg., Hachinohe City Hosp.

• Yoshihara Syuuichi

  Depart. of Digestive Surg., Hirosaki Univ.

• Hakamada Kennichi

  Depart. of Digestive Surg., Hirosaki Univ.

• Fukuyama Shouji

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Hatazawa Chiaki

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Segami Hideo

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Ohsato Masayuki

  Depart. of Surg., Hachinohe City Hosp.

• Ino-u-e Shigeaki

  Depart. of Surg., National Hospital Organization Aomori Hosp.

• Nakachi Hiromichi

  Ginowann Memorial Hosp.

• Umehara Yutaka

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Seki Toshihito

  The 3rd Depart. of Internal Medicine, Kannsai Medical Univ.

• Fukushima Takashi

  Depart. of Surg., National Hospital Organization Aomori Hosp.

関連論文

• Torsion of an Accessory Lobe of the Liver in a Child : Report of a Case
• Characterization of heparan sulfate on hepatocytes in regenerating rat liver
• Microwave cell death : Enzyme histochemical evaluation for metastatic carcinoma of the liver
• Microwave cell death : Immunohistochemical and enzyme histochemical evaluation
• P2-21 Microwave Cell Death : Cell death of the third kind
• Abnormal Pollen Tetrad Formation in Alloplasmic Triticale Lines
• Complete Remission of Recurrent Breast Cancer with Multiple Liver Metastases after Oral Capecitabine and Injected Trastuzumab
• Chemosensitivity of human pancreatic carcinoma cells is enhanced by IкBα super-repressor
• Monitoring of hepatic artery resistance index and optimal timing of liver transplantation for biliary atresia
• Routine intraoperative ultrasonography during laparoscopic biliary surgery : Impacts on improved diagnostic accuracy and reduction of iatrogenic bile duct injury
• Long-term survival for 11.5 years after percutaneous transhepatic cholangioscopic microwave tissue coagulation (MTC) in a jaundiced man with bile duct carcinoma and Schnitzlers metastasis due to colon carcinoma
• Effects of Nucleus, Cytoplasm and Their Interaction on the Performance of Wheat x Rye Hybrids
• Effects of T. timopheevi and Ae. umbellulata Cytoplasms on Homoeologous Chromosome Pairing in Wheat x Rye Hybrids
• Genome Composition of 42-Chromosome Lines Spontaneously Derived from Octoploid Triticales
• Microwave cell death : Molecular analysis using DNA electrophoresis, PCR amplification and TUNEL
• Basic knowledge of a microwave tissue coagulator and its clinical applications
• Clinicopathological Features of Gastric Cancer Cases and Aberrantly Expressed Recoverin
• Sonographic demonstration of wall thickness of the gallbladder in pediatric patients with pancreatico-biliary maljunction
• Stereocontrolled 1,4-Asymmetric Reduction of Cyclic Hemiketals. Synthesis of Both anti-and syn-1,4-Diols, and Their Transformations into trans-and cis-2,5-Disubstituted Tetrahydrofurans
• Surgical Management of Colorectal Cancer in Patients with Psychiatric Disorders
• Postoperative Abnormal Prothrombinemia in Patients with Cefoperazone : Report of Two Cases
• Sporadic neonatal Fanconi's anemia with VACTERL association
• Synthesis and Kaleidoscopic Reactivities of Bis(tritolylgermyl)bis(dimethylphenylphosphine)platinum(II)
• Long-term survival of over 4 years after microwave tissue coagulation (MTC) therapy via percutaneous transhepatic cholangioscopy in men with jaundice and bile duct carcinoma in the far advanced stage
• Acute lymphoblastic leukemia and Down syndrome : the collaborative study of the Tokyo Children's Cancer Study Group and the Kyushu Yamaguchi Children's Cancer Study Group
• Fatal pulmonary veno-occlusive disease after chemotherapy for Burkitt's lymphoma
• The Histopathological Study on the Cerebral Lesion of Spontaneously Hypertensive Rat in the Dietary Experiment
• Laparoscopic liver resection for liver tumor using a microwave tissue coagulator
• The Spontaneously Hypertensive Rat (8) : Proceedings of VIII Annual Scientific Meeting of the Council for the Spontaneously Hypertensive Rat October 8, 1972, Nagasaki
• Long-term survival for 15 years after percutaneous transhepatic cholangioscopic and X-ray image-guided microwave tissue coagulation (MTC) in a jaundiced man with non-resected bile duct carcinoma
• Long-term survival for 13 years after percutaneous transhepatic cholangioscopic microwave tissue coagulation (MTC) in an inoperable jaundiced woman with bile duct carcinoma
• Central nervous system lesions due to juvenile myelomonocytic leukemia progressed in a boy undergoing first line chemotherapy
• Intracranial Germinoma Manifesting as Cavernous Sinus Syndrome : Case Report
• Efficacy and Safety of Preoperative Portal Vein Embolization with Microfibrillar Collagen for Hepatobiliary Malignancy
• A Case of Cryptogenic Liver Cirrhosis with Huge Splenomegaly [Innovation in Transplant and Regenerative Medicine. The 13th Meeting of Hirosaki International Forum of Medical Science. Communication Center of Hirosaki University School of Medicine. Septembe
• Impact of Positive Lymphocyte Cross-match Test on Living-donor Liver Transplant [Innovation in Transplant and Regenerative Medicine. The 13th Meeting of Hirosaki International Forum of Medical Science. Communication Center of Hirosaki University School of
• Role of Nurses in Early Ambulation of Living Donor Liver Transplant Recipients [Innovation in Transplant and Regenerative Medicine. The 13th Meeting of Hirosaki International Forum of Medical Science. Communication Center of Hirosaki University School of
• Intracranial Germinoma Manifesting as Cavernous Sinus Syndrome:—Case Report—
• Reduction in epidermal Langerhans cells in patients with necrolytic migratory erythema
• The efficacy and the indication of microwave coagulation therapy for hepatocellular carcinoma
• Effects of late evening snack including branched-chain amino acid on the function of hepatic parenchymal cells in patients with liver cirrhosis
• Cholangioscopic microwave tissue coagulation (MTC) and recanalization of the bile duct with complete obstruction due to pancreatic carcinoma in the far advanced stage
• Enhanced antitumor effect of lower-dose and longer-term CPT-11 treatment in combination with low-dose celecoxib against neuroblastoma xenografts

もっと見る 閉じる

スポンサーリンク