Abstract
We report a case of bile duct cystadenocarcinoma of the liver with obstructive jaundice. An 83-year old man was admitted to the hospital because of jaundice. PTCD was performed for obstructive jaundice. Since a discharge from PTCD tube was mucous substrates and on imaging diagnosis multicystic lesion existed in the right lobe of the liver, we diagnosed the case as bile duct cystadenocarcinoma of the liver. Then an extended right lobectomy and a resection of the extrahepatic bile duct with lymph node dissection were performed. Histologically bile duct cystadenocarcinoma was confirmed. It is speculated that our case might come from malignant change of cystadenoma, because of the existence of the transitional zone of adenoma and cancerous cells. The tumor invaded the hepatic parenchyma, portal vein and billiary tract, but lymph node metastasis was not found. The patient is doing well and there has been no recurrence as of 2 years and 9 months after the surgery. The prognosis of invasive type of bile duct cystadenocarcinoma is relatively poorer than non-invasive type, but we speculate that improvement of the prognosis can be acquired by surgical resection.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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