Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Successful Multidisciplinary Therapy for Small Cell Carcinomas Arising from the Extrahepatic Bile Duct
Koh NakamaruTsukasa IkeuraHideaki MiyoshiMakoto TakaokaNaoyuki DanbaraShunsuke HoritaniMasataka MasudaYasutaka YamadaYoshiko UemuraHideyoshi ToyokawaSohei SatoiA-Hon KwonKazuichi Okazaki
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JOURNALS OPEN ACCESS

2015 Volume 54 Issue 21 Pages 2711-2715

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Abstract

A 74-year-old man was diagnosed with small cell carcinoma arising from the extrahepatic bile duct according to a histological examination of the biopsy specimen obtained during endoscopic retrograde cholangiopancreatography. Additionally, bulky hilar lymphadenopathy was observed, and the patient was treated with the combination of radiation and chemotherapy (cisplatin and irinotecan). Post-therapy, he underwent pancreaticoduodenectomy. The histological examination of the resected specimen revealed no residual cancer cells in the bile duct wall and a small amount of cancer cells in only a single lymph node. Due to this multidisciplinary therapy, the patient showed no signs of recurrence 12 months postoperatively.

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© 2015 by The Japanese Society of Internal Medicine
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