|
1
|
Nan L, Wang C, Wang J, Xu S, Bo X, Liu H, Wang Y. Cystic duct carcinoma and type I/II perihilar cholangiocarcinoma: Clinicopathological features and a new differential diagnosis model. Eur J Surg Oncol 2023; 49:107099. [PMID: 37826965 DOI: 10.1016/j.ejso.2023.107099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 09/17/2023] [Accepted: 09/25/2023] [Indexed: 10/14/2023]
Affiliation(s)
- Lingxi Nan
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China
| | - Changcheng Wang
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China
| | - Jie Wang
- Department of Thoracic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China
| | - Shijie Xu
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China
| | - Xiaobo Bo
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China.
| | - Houbao Liu
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China; Department of General Surgery, Zhongshan-Xuhui Hospital Affiliated to Fudan University, 966 Middle Huaihai Rd., Shanghai, 200031, China.
| | - Yueqi Wang
- Department of Biliary Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Biliary Tract Diseases Institute, Fudan University, 180 Fenglin Rd., Shanghai, 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, China; Shanghai Key Laboratory of Medical Imaging Computing and Computer Assisted Intervention, Fudan University, China.
| |
Collapse
|
|
2
|
Matsuzawa H, Goto T, Shibuya T, Sato W, Chiba M, Takahashi K, Minami S, Sato Y, Iijima K. A Preoperative Diagnosis of Advanced Cystic Duct Carcinoma Using SpyGlass DS Cholangioscopy: A Report of Two Cases. Intern Med 2022. [PMID: 36261386 DOI: 10.2169/internalmedicine.9732-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/07/2023] Open
Abstract
Primary cystic duct carcinoma is a rare tumor. The curative treatment of cystic duct carcinoma is complete surgical resection, for which the evaluation of local extension is important. We herein report two cases of cystic duct carcinoma in which a preoperative examination was performed using per-oral cholangioscopy (POCS). Both patients underwent POCS due to suspicion of cystic duct carcinoma based on imaging findings. A visual analysis and biopsy were performed to evaluate local extension, which led to surgery. These cases suggest that POCS is useful for the preoperative assessment of local extension in advanced cystic duct carcinoma.
Collapse
Affiliation(s)
- Hisanori Matsuzawa
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Takashi Goto
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Tomomi Shibuya
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Wataru Sato
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Mitsuru Chiba
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Kenichi Takahashi
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Shinichiro Minami
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Yuki Sato
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| | - Katsunori Iijima
- Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan
| |
Collapse
|
|
3
|
Sasaki K, Matsuda M, Hashimoto M, Harano T, Fujii T, Watanabe G. Early cystic duct carcinoma of new classification. Int J Surg Case Rep 2011; 2:246-9. [PMID: 22096742 DOI: 10.1016/j.ijscr.2011.08.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2011] [Revised: 07/28/2011] [Accepted: 08/01/2011] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Classically defined cystic duct carcinoma is extremely rare owing to its strict diagnostic criteria, which are not suitable in actual clinical settings. Recently, several new classifications of cystic duct carcinoma were reported, which defined it as a tumor with its center located in the cystic duct. On the other hand, the incidence of cystic duct carcinoma, based on the new classifications, is not rare, but all reported cases are advanced. PRESENTATION OF CASE A 77-year-old man with dilatation of the common bile duct, a stricture at the level of the cystic duct junction, and a filling defect of contrast medium into cystic duct in endoscopic retrograde cholangiopancreatography was diagnosed with cystic duct carcinoma. Radical cholecystectomy with bile duct resection was performed. In the resected specimen, we found that a 2 cm tumor whose center was located in the cystic duct and vertically limited to the mucosal layer. Horizontally, the tumor was superficially spread in the gallbladder, which were also limited to the mucosal layer. DISCUSSION Here we report a first case of early cystic duct carcinoma diagnosed according to a new classification that had spread superficially into the gallbladder. When treating an early cystic duct carcinoma, it is important to note that even localized carcinoma can potentially invade into adjacent organs or metastasize to regional lymph nodes due to the location of cystic duct. CONCLUSION It is suggested that perform radical resection such as cholecystectomy with gallbladder fossa resection, extrahepatic bile duct resection and regional lymphadenectomy is the treatment of choice.
Collapse
Affiliation(s)
- Kazunari Sasaki
- Department of Digestive Surgery, Hepato Pancreato Billiary Surgery Unit, Toranomon Hospital, Tokyo, Japan
| | | | | | | | | | | |
Collapse
|