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Nan L, Wang C, Wang J, Xu S, Bo X, Liu H, Wang Y. Cystic duct carcinoma and type I/II perihilar cholangiocarcinoma: Clinicopathological features and a new differential diagnosis model. EUROPEAN JOURNAL OF SURGICAL ONCOLOGY 2023; 49:107099. [PMID: 37826965 DOI: 10.1016/j.ejso.2023.107099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 09/17/2023] [Accepted: 09/25/2023] [Indexed: 10/14/2023]
Affiliation(s)
- Lingxi Nan
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China
| | - Changcheng Wang
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China
| | - Jie Wang
- Department of Thoracic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
| | - Shijie Xu
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China
| | - Xiaobo Bo
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China.
| | - Houbao Liu
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China; Department of General Surgery, Zhongshan-Xuhui Hospital Affiliated to Fudan University, 966 Middle Huaihai Rd., Shanghai, 200031, China.
| | - Yueqi Wang
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China; Shanghai Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention, Fudan University, China.
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Abstract
Carcinoma of the cystic duct is a rare neoplasm, and we herein report four cases of carcinoma of the cystic duct. The patients consisted of a 69 year old and 71 year old woman and a 61 year old and 93 year old man. They complained of either abdominal pain or abdominal mass. All the tumors were microscopically well-differentiated adenocarcinoma, mostly limited to the wall, that showed no lymph node or distant metastasis. Three patients who had undergone resection were doing well 20 days, 67 months, and 125 months after the operation, respectively. These findings may suggest that not only the early development of symptoms caused by obstruction of the narrow lumen of the cystic duct, but also slow growth and late metastasis produce a favorable clinical course in patients with carcinoma of the cystic duct.
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Affiliation(s)
- K Yamaguchi
- Second Department of Pathology, Faculty of Medicine, Kyushu University, Fukuoka, Japan
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Nishimura A, Mayama S, Nakano K, Seki Y, Tanaka N. Carcinoma of the cystic duct: case report. THE JAPANESE JOURNAL OF SURGERY 1975; 5:109-17. [PMID: 1223341 DOI: 10.1007/bf02469615] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
A case of carcinoma of the cystic duct is presented and comprehensive review of the literature was provided. Since no characteristic clinical signs are present, the diagnosis can only be made incidentally at the time of laparotomy for non-visualizing gallbladder. Even then histological study of the resected specimen is mandatory. In our present case after the confirmation of the diagnosis the second look exploration was done. However, careful examination of the bile duct system failed to find evidence of carcinomatous involvement suggesting that carcinoma found in the cystic duct was of a primary and not a secondary invasion. The present case constitutes the nineteenth case which meets completely the criteria proposed by Farrar. Since the only hope or cure lies with the early diagnosis of the disease, early exploratory laparotomy and prophylactic removal of nonfunctioning or calculous gallbladder are recommended.
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