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

Authors
 Kang Kook Choi  ;  Sae Byeol Choi  ;  Seung Woo Park  ;  Hyun Ki Kim  ;  Young Nyun Park  ;  Kyung Sik Kim 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.81(4) : 281-286, 2011 
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY
ISSN
 2233-7903 
Issue Date
2011
Keywords
Bile duct neoplasms ; Choledochal cyst ; Gallbladder neoplsms ; Synchronous multiple primary neoplasms
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
Files in This Item:
T201104269.pdf Download
DOI
10.4174/jkss.2011.81.4.281
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
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Kim, Hyunki(김현기) ORCID logo https://orcid.org/0000-0003-2292-5584
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94661
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