Abstract
We report a resected distal bile duct carcinoma with the problem of cancer of the pancreas head region. A 71 year-old male was admitted with severe jaundice. Preoperative diagnosis showed distal bile duct carcinoma by an endoscopic retrograde cholangiopancreatogram (ERCP), a pericutaneous transhepatic cholangiogram (PTC), an abdominal angiogram, ultrasonic examination and cytology of the bile juice. From the cut surface of a resected specimen, we recognized pancreas head cancer expanded and growing into the normal pancreas tissue. Histopathological examination showed distal bile duct carcinoma as a result of findings that the center of the cancer nest was inclined to bile duct, the main tumor grew up to the intrabile duct, and there was cancer in situ on the bile duct wall. This case was indicated as stage IV of the general rules for surgical study of cancer of the biliary tract, and stage II of the rules for surgical and pathological studies of cancer of the pancreas. Carcinoma of the pancreas head region with indistinct occurrence is an extremely serious problem.
