Zhang C, Zhou J, Kou K, Liu S, We F, Wang G. Occurrence of signet-ring cell carcinoma with cholangiocarcinoma 25 years after choledochal cyst excision: A case report.
Medicine (Baltimore) 2018;
97:e9956. [PMID:
29465585 PMCID:
PMC5841982 DOI:
10.1097/md.0000000000009956]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
RATIONALE
Choledochal cysts are a risk factor for the development of cholangiocarcinoma. Hence, complete surgical excision is the preferred treatment in most cases. However, cholangiocarcinoma still can develop from the remnant biliary system after surgical excision. Signet-ring cell carcinoma is a rare type of cancer of the biliary system, and the occurrence of signet-ring cell carcinoma after surgical excision of choledochal cysts has not been reported in the English literature to date.
PATIENT CONCERNS
We report a case of a 32-year-old woman who presented with a 1-month history of abdominal pain,obstructive jaundice, itching, and fever. The patient had undergone choledochal cyst excision and Roux-en-Y hepatico-jejunostomy 25 years previously and had now developed signet-ring cell carcinoma along with cholangiocarcinoma at the anastomotic site. DIAGNOSES:: signet-ring cell carcinoma along with cholangiocarcinoma.
INTERVENTIONS
Interventions included laparotomy with evacuation,blood transfusion,and other adjuvant therapy.
OUTCOMES
The patient died five months later.
LESSONS
Surgery is the best treatment for CCCs, and the surgeon should try to remove as much as of the bile duct cyst as possible.
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