Abstract
We report a rare case of single synchronous lung metastasis from intrahepatic cholangiocarcinoma. An 81-year-old man was referred to our hospital with an abnormal shadow on a chest radiograph, and given a preoperative diagnosis of triple primary lung, liver, and ampulla of Vater carcinomas. These tumors were removed by two-stage surgery consisting of hepatopancreatoduodenectomy and subsequent left upper lobectomy performed with an interval of 37 days. The patient's postoperative course was uneventful. Pathological examination of the resected specimens revealed the lung tumor to be a metastasis from the intrahepatic cholangiocarcinoma. In this patient, the tumor recurred in the lung 11 months after the operation, and he died 11 months after recurrence.
