Kawachi Yusuke, Sakata Jun, Abe Shun, Saito Seiji, Miura Yohei, Ando Takuya, Hirose Yuki, Ishikawa Hirosuke, Miura Kohei, Takizawa Kazuyasu, Muneoka Yusuke, Tajima Yosuke, Ichikawa Hiroshi, Shimada Yoshifumi, Wakai Toshifumi
Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
Gan To Kagaku Ryoho. 2023 Dec;50(13):1953-1955.
We report a case of biliary cystadenocarcinoma in which long-term survival was achieved after 2 operations for intrahepatic recurrence. A 72-year-old man with biliary cystadenocarcinoma located mainly in segment 3 of the liver underwent left hepatectomy, extrahepatic bile duct resection, and lymph node dissection. Seven years and 9 months after the initial resection, he underwent partial liver resection(segment 5)for intrahepatic recurrence detected by computed tomography. Fifteen years and 7 months after the initial resection, he underwent repeat partial resection of the liver(segment 5)for intrahepatic recurrence. Histologically, these tumors were confirmed to be recurrence of biliary cystadenocarcinoma. He remains alive and well with no further recurrence 21 years and 6 months after the initial resection. This case and a literature review suggest that hepatic resection is a useful treatment option for intrahepatic recurrence of biliary cystadenocarcinoma.
我们报告一例肝内复发经两次手术治疗后获得长期生存的胆管囊腺癌病例。一名72岁男性，胆管囊腺癌主要位于肝脏3段，接受了左肝切除术、肝外胆管切除术和淋巴结清扫术。初次切除术后7年9个月，他因计算机断层扫描检测到肝内复发而接受了部分肝切除术（5段）。初次切除术后15年7个月，他因肝内复发再次接受了肝脏部分切除术（5段）。组织学检查证实这些肿瘤为胆管囊腺癌复发。初次切除术后21年6个月，他仍然健在，未出现进一步复发。该病例及文献综述表明，肝切除术是治疗胆管囊腺癌肝内复发的有效选择。
