Signet Ring Cell Carcinoma of the Extrahepatic Bile Duct
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초록
Most tumors affecting the extrahepatic bile duct are adenocarcinomas; the other histologic types occur only rarely. We herein report the extremely rare case of signet ring cell carcinoma (SRCC) originating from the extrahepatic bile duct. A 55-year-old man was hospitalized for jaundice and pruritus. Computed tomography and positron emission tomography suggested the presence of distal extrahepatic bile-duct cancer. He underwent a pylorus preserving pancreaticoduodenectomy. A histologic study confirmed a signet ring cell neoplasm of the distal common bile duct. Because the upper resection margin was invaded by the tumor, he received postoperative concurrent chemoradiotherapy and four cycles of chemotherapy. The patient has survived with no evidence of recurrence for 2 years. This is the second case of primary SRCC of the distal extrahepatic bile duct reported in the literature; further reports of cases are warranted to determine the nature of SRCC in the extrahepatic bile duct.
Abstract
Most tumors affecting the extrahepatic bile duct are adenocarcinomas; the other histologic types occur only rarely. We herein report the extremely rare case of signet ring cell carcinoma (SRCC) originating from the extrahepatic bile duct. A 55-year-old man was hospitalized for jaundice and pruritus. Computed tomography and positron emission tomography suggested the presence of distal extrahepatic bile-duct cancer. He underwent a pylorus preserving pancreaticoduodenectomy. A histologic study confirmed a signet ring cell neoplasm of the distal common bile duct. Because the upper resection margin was invaded by the tumor, he received postoperative concurrent chemoradiotherapy and four cycles of chemotherapy. The patient has survived with no evidence of recurrence for 2 years. This is the second case of primary SRCC of the distal extrahepatic bile duct reported in the literature; further reports of cases are warranted to determine the nature of SRCC in the extrahepatic bile duct.
참고문헌 (14)
- Jarnagin WR, "Surgical management of cholangiocarcinoma", Semin Liver Dis, 24, pp.189~199 (2004)
- Slattery JM, "What is the current state-of the-art imaging for detection and staging of cholangiocarcinoma?", Oncologist, 11, pp.913~922 (2006)
- Akoad M, "Proximal biliary malignancy", Surg Clin North Am, 88, pp.1409~1428 (2008)
- Hiraki M, "Signet ring cell carcinoma of the lower bile duct with rapid growth: report of a case", Hepatogastroenterology, 54, pp.1922~1924 (2007)
- Mosconi S, "Cholangiocarcinoma", Crit Rev Oncol Hematol, 69, pp.259~270 (2009)
- Yamaguchi K, "Carcinoma of the extrahepatic bile duct: mode of spread and its prognostic implications", Hepatogastroenterology, 44, pp.1256~1261 (1997)
- Shimada H, "The infiltration of bile duct carcinoma along the bile duct wall", Int Surg, 73, pp.87~90 (1988)
- Wakai T, "Impact of ductal resection margin status on long-term survival in patients undergoing resection for extrahepatic cholangiocarcinoma", Cancer, 103, pp.1210~1216 (2005)
- Ustundag Y, "Cholangiocarcinoma: a compact review of the literature", World J Gastroenterol, 14, pp.6458~6466 (2008)
- Krstić M, "Histological, mucinohistochemical and immunohistochemical features of gastric signet ring cell carcinoma", Vojnosanit Pregl, 65, pp.835~838 (2008)
- Yokota T, "Signet ring cell carcinoma of the stomach: a clinicopathological comparison with the other histological types", Tohoku J Exp Med, 186, pp.121~130 (1998)
- Akatsu T, "Signet-ring cell carcinoma of the ampulla of Vater: report of a case", Surg Today, 37, pp.1110~1114 (2007)
- Gao JM, "Signet-ring cell carcinoma of ampulla of Vater: contrast-enhanced ultrasound findings", World J Gastroenterol, 15, pp.888~891 (2009)
- Ramia JM, "Signet-ring-cell carcinoma of the Vater's ampulla", JOP, 5, pp.495~497 (2004)