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- Title
Intrahepatic cholangiocarcinoma with gastric infiltration misdiagnosed as gastric submucosal tumor.
- Authors
Ito, Shunichi; Takahashi, Yutaka; Yamada, Takuji; Kawai, Yosuke; Ohira, Kei
- Abstract
Intrahepatic cholangiocarcinomas (ICC) are rare primary liver tumors. In few cases, they may invade nearby organs and present as extrahepatic growths, leading to poor prognosis. We report a case of a 78-year-old man who presented with fatigue. An upper gastrointestinal endoscopy was performed to find a cause for his anemia, which showed a submucosal tumor with delle at the lesser curvature of the gastric cardia. A computed tomography revealed a low-density tumor of diameter 70 mm at the cardia. It appeared to infiltrate the liver directly. We performed lateral hepatectomy, proximal gastrectomy and lymphadenectomy. The pathological findings revealed an ICC with gastric infiltration. Although adjuvant chemotherapy was administered, 12 months postoperatively, the patient developed pain and multiple bone metastases for which palliative radiation was initiated. The guidelines for lymphadenectomy and adjuvant chemotherapy in such cases are unclear. Appropriate regional lymphadenectomy and adjuvant chemotherapy can improve the prognosis of such patients.
- Subjects
ADJUVANT chemotherapy; CHOLANGIOCARCINOMA; LIVER tumors; BONE metastasis; COMPUTED tomography; GASTROINTESTINAL stromal tumors; DUODENAL tumors
- Publication
Journal of Surgical Case Reports, 2020, Vol 2020, Issue 11, p1
- ISSN
2042-8812
- Publication type
Article
- DOI
10.1093/jscr/rjaa359