PTCD経路に播種性転移をきたした胆管内分泌細胞癌の1例

• 西江 浩

  広瀬町立広瀬病院外科

• 水澤 清昭

  広瀬町立広瀬病院外科

• 小川 東明

  広瀬町立広瀬病院外科

• 渡部 博昭

  広瀬町立広瀬病院内科

• 坂谷 貴司

  鳥取大学第1病理

書誌事項

タイトル別名

• A CASE OF ENDOCRINE CELL CARCINOMA OF THE BILE DUCT WITH DISSEMINATED METASTASIS TO THE PTCD PATHWAY

抄録

Billiary endocrine carcinomas are rare, especially endocrine cell carcinoma of the bile duct.<br> A 67-year-old man was admitted to the hospital because of obstructive jaundice. After a percutaneous transhepatic cholangiodrainage (PTCD), a pylorus preserving pancreatoduodenectomy was performed with a diagnosis of carcinoma of the lower bile duct. Histological exploration offered a diagnosis of endocrine cell carcinoma of the bike duct. One year and 9 months after operation, reoperation was performed for disseminated metastases to the liver and percutaneous area along the pathway of PTCD. Although usual endocrine cell carcinomas have poor prognosis, the patient has been recurrence free as of 2 years and 2 months after the reoperation, with a favorable clinical course. Further, disseminated metastasis after PTCD is rare, but some preventive stratedies for recurrence at the fistula as well as observation of clinical course by entertaining a possible disseminated metastasis along the pathway of PTCD are required, if a good prognosis can be expected for the original disease.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 61 (4), 1044-1047, 2000

  日本臨床外科学会

キーワード

• 胆管内分泌細胞癌
• 播種性転移

詳細情報

• CRID: 1390001204847629824
• NII論文ID: 130003601847
• NII論文ID: 10009379258
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.61.1044
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/4/61_4_1044/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000226610
• データソース種別:
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  • Crossref
  • CiNii Articles
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