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Díaz Vico T, Castellón Pavón CJ, Díaz García GA, Torres Alemán A, Pérez Domene MT, Sánchez Infante S, Fuel Gómez DC, Durán Poveda M. Liver metastases of colorectal adenocarcinoma with intrahepatic biliary spread pattern: clinical manifestation and importance of immunohistochemical analysis. Clin J Gastroenterol 2023; 16:693-697. [PMID: 37306864 DOI: 10.1007/s12328-023-01819-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 05/29/2023] [Indexed: 06/13/2023]
Abstract
Liver metastases of colorectal carcinoma (LMCC) with macroscopic intrabiliary ductal involvement are a rare entity that can clinically and radiologically mimic a cholangiocarcinoma. However, a thorough anatomopathologic and immunohistochemical study of biliary ductal involvement is required because of its distinctive clinical features and relatively indolent biological behavior, reflecting a better prognosis and long-term survival. We present the case of a patient who debuted with LMCC with intrahepatic biliary ductal involvement, whose definitive diagnosis was established by immunohistochemical analysis, showing a characteristic CK7 - /CK20 + pattern.
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Affiliation(s)
- Tamara Díaz Vico
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain.
| | - Camilo José Castellón Pavón
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain
| | - Gustavo Adolfo Díaz García
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain
| | - Ana Torres Alemán
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain
| | - María Teresa Pérez Domene
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain
| | - Silvia Sánchez Infante
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain
| | | | - Manuel Durán Poveda
- Department of General Surgery, Hospital Universitario Rey Juan Carlos, Calle Gladiolo S/N, 28933, Móstoles, Madrid, Spain
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