A Case of Synchronous Combined Cholangiocellular and Hepatocellular Carcinoma Observed after Resection of Intraductal Papillary-mucinous Tumor
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概要
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A Japanese man with chronic hepatitis C underwent distal pancreatectomy because of intraductal papillary-mucinous tumor (IPMT) located in the pancreas tail. Seven years later, when the patient was 72, liver tumor was detected by computed tomography in the anterior superior segment. Eight months after angiography, CT-A and CT-AP showed a hypervascular tumor which was enlarging gradually and a small satellite tumor. Subsegmental hepatectomy was performed in August, 2005. The two tumors were different from each other immunopathologically. The main tumor was diagnosed as cholangiocellular carcinoma (CCC), and the satellite tumor as hepatocellular carcinoma (HCC). Both liver tumors differed from metastasis of IPMT which was previously resected. The patient is still alive without recurrence 17 months after resection of the liver.Triple primary cancers with IPMT, CCC and HCC are very rare. No combination like this was found in a PubMed search.
- 日本外科系連合学会の論文
日本外科系連合学会 | 論文
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