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Synchronous double primary cancers associated with a choledochal cyst and anomalous pancreaticobiliary ductal union

Title
 Synchronous double primary cancers associated with a choledochal cyst and anomalous pancreaticobiliary ductal union
Authors
 Kang Kook Choi; Sae Byeol Choi; Kyung Sik Kim; Young Nyun Park; Hyun Ki Kim; Seung Woo Park
Issue Date
2011
Journal Title
 Journal of the Korean Surgical Society (대한외과학회지 )
ISSN
 1226-0053
Citation
 Journal of the Korean Surgical Society (대한외과학회지 ), Vol.81(4) : 281~286, 2011
Abstract
A 60-year-old female was admitted with epigastric pain lasting a month. Preoperative diagnosis was choledochal cyst with anomalous pancreaticobiliaryductal union (APBDU), C-P type. A papillary mass measuring 2.5 x 1.9 cm was found adjacent to the pancreaticocholedochal junction. Gallbladder (GB) cancer was also observed. Pyloric-preserving pancreaticoduodenectomy (PPPD) was performed. The patient received adjuvant chemotherapy/radiation therapy on the tumor bed. The gallbladder cancer showed serosal invasion, while the bile duct cancer extended into the pancreas. Although common bile duct (CBD) cancer lesion showed focally positive for p53 and the gallbladder cancer lesion showed negative for p53, the Ki-67 labeling index of the CBD cancer and GB cancer were about 10% and 30%, respectively. Nine months after curative resection, a stricture on the subhepatic colon developed due to adjuvant radiation therapy. Localized peritoneal seedings were incidentally found during a right hemicolectomy. The patient underwent chemotherapy and had no evidence of tumor recurrence for two years after PPPD
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94661
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Pathology
Yonsei Authors
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