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14.12.2018 | case report

An aggressive surgical approach to rare central biliary invasion of colon cancer

verfasst von: Bibek Aryal, Kota Yoshikawa, Teruo Komokata, MD, PhD, Hiroto Yasumura, Maki Inoue, Mamoru Kaieda, Yutaka Imoto

Erschienen in: European Surgery | Ausgabe 1/2019

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Summary

Background

Central biliary metastasis from colorectal cancer (CRC) is a rare manifestation. Given the rarity of the lesion, cases with central biliary metastasis from CRC pose challenges in identifying the proper treatment strategy.

Methods

We present a case of stage IV CRC with synchronous multiple liver metastases and central biliary invasion. We also conducted a literature search and reviewed the reports on central biliary metastasis of CRC treated by major hepatectomy combined with extrahepatic bile duct resection.

Results

The patient underwent colon resection, partial hepatectomy, and transileocecal portal embolization (TIPE) as the first procedure, which was followed by an extended right hepatectomy and extrahepatic bile duct resection. Adjuvant chemotherapy was introduced, and the patient was doing well with no recurrence at 17 months after the first procedure.

Conclusion

A liberal radical and aggressive resection in a multimodal treatment strategy could offer a favorable outcome in patients with a rare central biliary manifestation of CRC.
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Metadaten
Titel
An aggressive surgical approach to rare central biliary invasion of colon cancer
verfasst von
Bibek Aryal
Kota Yoshikawa
Teruo Komokata, MD, PhD
Hiroto Yasumura
Maki Inoue
Mamoru Kaieda
Yutaka Imoto
Publikationsdatum
14.12.2018
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 1/2019
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-018-0565-6

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