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Bile duct wall metastasis from micropapillary variant transitional cell carcinoma of the urinary bladder mimicking primary hilar cholangiocarcinoma.

Authors
 Sung Pil Hong  ;  Seung Woo Park  ;  Se Jun Lee  ;  Jun Pyo Chung  ;  Si Young Song  ;  Jae Bock Chung  ;  Jin Kyung Kang  ;  Nam Hoon Cho 
Citation
 GASTROINTESTINAL ENDOSCOPY, Vol.56(5) : 756-760, 2002 
Journal Title
 GASTROINTESTINAL ENDOSCOPY 
ISSN
 0016-5107 
Issue Date
2002
MeSH
Bile Duct Neoplasms/complications ; Bile Duct Neoplasms/diagnosis ; Bile Duct Neoplasms/secondary* ; Bile Ducts, Intrahepatic/diagnostic imaging* ; Bile Ducts, Intrahepatic/pathology ; Carcinoma, Transitional Cell/complications ; Carcinoma, Transitional Cell/diagnosis ; Carcinoma, Transitional Cell/secondary* ; Cholangiocarcinoma/diagnosis* ; Cholangiopancreatography, Endoscopic Retrograde ; Cholestasis/etiology ; Diagnosis, Differential ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Urinary Bladder Neoplasms/pathology*
Abstract
Biliary obstruction can be caused by primary bile duct malignancies as well as malignancies arising in adjacent organs such as the papilla, gallbladder, and pancreas.1 Infrequently, malignant biliary tract obstruction can be caused by a metastatic lesion from a distant tumor, usually through the mechanism of extrinsic compression by tumor-infiltrated lymph nodes in the perihilar, pericholedochal, and/or hepatoduodenal areas.1,2 The sites of primary tumors that account for most cases of biliary obstruction caused by metastasis are the stomach, colon, breast, lung, and cervix. Malignant biliary obstruction can also be caused by intrabiliary metastasis within the submucosal layer of the bile duct, although this is extremely rare. This type of intrabiliary metastasis results in unique cholangiographic findings that mimic primary cholangiocarcinoma. Reported here is the case of a patient who presented with obstructive jaundice caused by bile duct wall metastasis of micropaillary variant transitional cell carcinoma of the urinary bladder.
Full Text
http://www.giejournal.org/article/S0016-5107(02)70135-1/abstract
DOI
10.1016/S0016-5107(02)70135-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Cho, Nam Hoon(조남훈) ORCID logo https://orcid.org/0000-0002-0045-6441
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144657
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