Academic Journal

Successful Resection of Solitary Abdominal Wall Metastasis of Sarcomatous Intrahepatic Cholangiocarcinoma

التفاصيل البيبلوغرافية
العنوان: Successful Resection of Solitary Abdominal Wall Metastasis of Sarcomatous Intrahepatic Cholangiocarcinoma
المؤلفون: Kosuke Ono, Michinori Hamaoka, Hiroyuki Egi, Tsuyoshi Kobayashi, Hiroyuki Tahara, Shintaro Kuroda, Seiichi Shimizu, Shoichiro Mukai, Masatoshi Kochi, Noriyuki Shiroma, Koji Arihiro, Hideki Ohdan
المصدر: Case Reports in Gastroenterology, Vol 13, Iss 1, Pp 66-72 (2019)
بيانات النشر: Karger Publishers, 2019.
سنة النشر: 2019
المجموعة: LCC:Diseases of the digestive system. Gastroenterology
مصطلحات موضوعية: Cholangiocarcinoma, Resection, Metastasis, Diseases of the digestive system. Gastroenterology, RC799-869
الوصف: Sarcomatous intrahepatic cholangiocarcinoma (ICC) is a rare histological variant of ICC that is composed of both adenocarcinoma (ICC component) and sarcomatous components. Surgery is believed to be the primary treatment, and some reports describe primary resection. However, due to the aggressive malignancy of sarcomatous ICC, there is no report regarding resection of a metastatic lesion. In this report, we present the case of a 75-year-old woman admitted to our hospital with the chief complaint of weight loss. Various imaging techniques demonstrated a single mass in the liver and cecum. A cecal gastrointestinal stromal tumor accompanied by liver metastasis was suspected, and ileocecal resection was performed for diagnostic purposes. However, the tumor was present in the abdominal wall rather than in the cecum. The tumor was resected and diagnosed as undifferentiated sarcoma. We suspected the liver tumor was a series of lesions, so we performed hepatectomy. As the tumor was composed of both adenocarcinoma and sarcomatous components, it was diagnosed as sarcomatous ICC. The histological findings of the abdominal wall tumor were similar to those of sarcomatous ICC, so we diagnosed the abdominal wall tumor as a solitary metastasis of sarcomatous ICC. In this case, solitary metastasis was observed, and we were able to resect both the primary and metastatic lesions. This case illustrates that when solitary metastasis can be seen in sarcomatous ICC, radical resection is possible.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1662-0631
Relation: https://www.karger.com/Article/FullText/496917; https://doaj.org/toc/1662-0631
DOI: 10.1159/000496917
URL الوصول: https://doaj.org/article/98f5658f1f5b48e1b38e94fa376066f6
رقم الانضمام: edsdoj.98f5658f1f5b48e1b38e94fa376066f6
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16620631
DOI:10.1159/000496917