A CASE OF TRIPLE CANCERS CONSISTED OF GALLBLADDE RCANCER, LOWER BILIARY DUCT CANCER, AND UTERINE CERVICAL CANCER

  • OSHIMA Toshihiro
    The 4th Department of Internal Medicine, Tokyo Medical University
  • ITOI Takao
    The 4th Department of Internal Medicine, Tokyo Medical University
  • SOFUNI Atsushi
    The 4th Department of Internal Medicine, Tokyo Medical University
  • KURIHARA Toshio
    The 4th Department of Internal Medicine, Tokyo Medical University
  • TSUCHIYA Takayoshi
    The 4th Department of Internal Medicine, Tokyo Medical University
  • AOKI Takaya
    The 4th Department of Internal Medicine, Tokyo Medical University
  • MIYATA Yuki
    The 4th Department of Internal Medicine, Tokyo Medical University
  • SHINOHARA Yasushi
    The Department of Gastroenterology , Hachiouji Medical Center of Tokyo Medical University
  • SERIZAWA Hiromi
    The Department of Pathology, Tokyo Medical University
  • MORIYASU Fuminori
    The 4th Department of Internal Medicine, Tokyo Medical University

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Other Title
  • 肝門部胆管狭窄に対し,Covered Metallic Stentが有効であった三重複癌の1例

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Abstract

A 67-year-old female was admitted to our hospital for jaundice. Gallbladder cancer with bile duct infiltration was diagnosed by imaging modalities and PTBD was performed. After jaundice was ameliorated, two partially covered self-expandable metallic stents (C-SEMS) were inserted to both lobes of the liver for biliary drainage. Six months later, she was admitted again for jaundice. Patency of the stents was excellent. However, a new papillary elevated lesion was found at the distal end of the lower common bile duct. Under choledochoscopic guidance, YAG laser ablation was performed on the lesion for recanalization and she was discharged. Six months later, she was re-admitted to our hospital for anemia. Massive genital hemorrhage occurred after admission. Treatment to stop the bleeding was in vain and she died. Autopsy revealed synchronous triple cancer consisted of gallbladder cancer, lower biliary duct cancer, and uterine cervical cancer.

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